Provider Demographics
NPI:1700264504
Name:TRUE CARE PHYSICAL THERAPY AND REHABILITATION, PLLC
Entity Type:Organization
Organization Name:TRUE CARE PHYSICAL THERAPY AND REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:POPP
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:623-777-1870
Mailing Address - Street 1:14815 W BELL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7603
Mailing Address - Country:US
Mailing Address - Phone:623-777-1870
Mailing Address - Fax:623-777-1403
Practice Address - Street 1:14815 W BELL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7603
Practice Address - Country:US
Practice Address - Phone:623-777-1870
Practice Address - Fax:623-777-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8250261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy