Provider Demographics
NPI:1497984090
Name:HEALING HOUSE CALLS, PLLC
Entity Type:Organization
Organization Name:HEALING HOUSE CALLS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:602-809-9948
Mailing Address - Street 1:3116 E SHEA BLVD
Mailing Address - Street 2:#126
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3206
Mailing Address - Country:US
Mailing Address - Phone:602-809-9948
Mailing Address - Fax:602-788-9895
Practice Address - Street 1:2361 E CHERYL DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3613
Practice Address - Country:US
Practice Address - Phone:602-809-9948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1019225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty