Provider Demographics
NPI:1457309486
Name:GIARDINA, DREW (DPT)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:GIARDINA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71846
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1015
Mailing Address - Country:US
Mailing Address - Phone:602-499-1139
Mailing Address - Fax:
Practice Address - Street 1:4730 E LONE MOUNTAIN RD STE 114
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5539
Practice Address - Country:US
Practice Address - Phone:480-272-7140
Practice Address - Fax:480-361-8216
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ55692251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ107229Medicare PIN