AGAVE PHYSICAL THERAPY LLC

LAKE HAVASU CITY, AZ
NPI1720521040
Entity TypeOrganization
Authorized ContactBRETT QUALLS
Owner
928-855-7880
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2016-11-18
Last Update Date2016-12-13
Business Address
AGAVE PHYSICAL THERAPY LLC
191 SWANSON AVE #102
LAKE HAVASU CITY, AZ 86403-6699
Phone number: 928-855-7880
Mailing Address
AGAVE PHYSICAL THERAPY LLC
191 SWANSON AVE #102
LAKE HAVASU CITY, AZ 86403-6699
Phone number: 928-855-7880
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