Basic Information
| Provider Information | |||||||||
| NPI: | 1891814513 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TOBLER PHYSICAL THERAPY PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2835 E BROWN RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | MESA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852135470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808076644 | ||||||||
| FaxNumber: | 4803241881 | ||||||||
| Practice Location | |||||||||
| Address1: | 2835 E BROWN RD STE 101 | ||||||||
| Address2: | |||||||||
| City: | MESA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852135470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808076644 | ||||||||
| FaxNumber: | 4803241881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2007 | ||||||||
| LastUpdateDate: | 03/31/2009 | ||||||||
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| AuthorizedOfficialLastName: | TOBLER | ||||||||
| AuthorizedOfficialFirstName: | STEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4808076644 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.