ARIZONA SERVICES FOR DEVELOPMENTAL THERAPY INC
Restorative Service Providers at Page Ave, Gilbert, AZ

License number
Arizona 0503
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: ROXANNE SMALL PT
Title: OWNER PHYSICAL THERAPIST
Phone: (480) 926-1399
Address
Address
2101 E Page Ave, Gilbert, AZ 85234
National Provider ID: 1992825830
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARIZONA SERVICES FOR DEVELOPMENTAL THERAPY, INC

2101 E Page Ave, Gilbert, AZ 85234

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Nov 20, 1980
Inactive since:
Dec 30, 2014
State ID:
-0134428-6
Expiration:
PERPETUAL
Secretarys:
Roxanne Small (President), 2101 E Page Ave, Gilbert, AZ 85234 (Physical),Gary Small (Secretary), 2101 E Page Ave, Gilbert, AZ 85234 (Physical)
Agent:
James E Brown,2111 E Highland #145, Phoenix, AZ 85016 (Physical)
Business type:
HEALTH CARE

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