Provider Demographics
NPI:1760582530
Name:GALBASINI, CRAIG C (PT)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:C
Last Name:GALBASINI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N. ESTRELLA PARKWAY
Mailing Address - Street 2:SUITE 50
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338
Mailing Address - Country:US
Mailing Address - Phone:623-882-2992
Mailing Address - Fax:623-925-4923
Practice Address - Street 1:750 N. ESTRELLA PARKWAY
Practice Address - Street 2:SUITE 50
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338
Practice Address - Country:US
Practice Address - Phone:623-882-2992
Practice Address - Fax:623-925-4923
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5315225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ106676Medicare ID - Type UnspecifiedMEDICARE