Provider Demographics
NPI:1215252655
Name:ABOVE & BEYOND THERAPY SERVICES
Entity type:Organization
Organization Name:ABOVE & BEYOND THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/O.T.
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:480-987-1870
Mailing Address - Street 1:21321 E OCOTILLO RD
Mailing Address - Street 2:BLDG. H SUITE 119
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-5996
Mailing Address - Country:US
Mailing Address - Phone:480-987-1870
Mailing Address - Fax:480-987-9289
Practice Address - Street 1:21321 E OCOTILLO RD
Practice Address - Street 2:BLDG. H SUITE 119
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-5996
Practice Address - Country:US
Practice Address - Phone:480-987-1870
Practice Address - Fax:480-987-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty