Provider Demographics
NPI:1205163912
Name:PRICE, GERALD H (PT)
Entity type:Individual
Prefix:MR
First Name:GERALD
Middle Name:H
Last Name:PRICE
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:7620 E INDIAN SCHOOL RD
Mailing Address - Street 2:STE. #114
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3610
Mailing Address - Country:US
Mailing Address - Phone:480-947-3979
Mailing Address - Fax:480-941-2708
Practice Address - Street 1:7620 E INDIAN SCHOOL RD
Practice Address - Street 2:STE. #114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3610
Practice Address - Country:US
Practice Address - Phone:480-947-3979
Practice Address - Fax:480-941-2708
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ87252251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics