Provider Demographics
NPI:1063609477
Name:O'BRIEN PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:O'BRIEN PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:602-538-6736
Mailing Address - Street 1:6910 E CHAUNCEY LN
Mailing Address - Street 2:STE 115
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5160
Mailing Address - Country:US
Mailing Address - Phone:602-538-6736
Mailing Address - Fax:
Practice Address - Street 1:6910 E CHAUNCEY LN
Practice Address - Street 2:STE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5160
Practice Address - Country:US
Practice Address - Phone:602-538-6736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-29
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy