Provider Demographics
NPI:1437276060
Name:O.P.S. THERAPY SERVICES
Entity Type:Organization
Organization Name:O.P.S. THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:PAMELA
Authorized Official - Last Name:BAZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTRL
Authorized Official - Phone:602-617-8504
Mailing Address - Street 1:44418 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW RIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-7314
Mailing Address - Country:US
Mailing Address - Phone:602-617-8504
Mailing Address - Fax:
Practice Address - Street 1:44418 N 12TH ST
Practice Address - Street 2:
Practice Address - City:NEW RIVER
Practice Address - State:AZ
Practice Address - Zip Code:85087-7314
Practice Address - Country:US
Practice Address - Phone:602-617-8504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty