Provider Demographics
NPI:1083272082
Name:THERAZONA WOMENS HEALTH, LLC
Entity Type:Organization
Organization Name:THERAZONA WOMENS HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:OTOOLE
Authorized Official - Last Name:FLANNAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:602-821-8883
Mailing Address - Street 1:861 N HIGLEY RD STE B-115
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-9602
Mailing Address - Country:US
Mailing Address - Phone:480-699-8473
Mailing Address - Fax:480-219-8237
Practice Address - Street 1:13802 N SCOTTSDALE RD STE 162
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3437
Practice Address - Country:US
Practice Address - Phone:480-699-8473
Practice Address - Fax:480-219-8237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy