Most Relevant Information
Provider Data
| NPI Number: | 1003367947 |
| Provider Name: | ROBERT KAGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 12478 |
Most Important Dates
| Enumeration Date: | 10/15/2016 |
| Last Updated: | 10/15/2016 |
Provider Practice Location
3646 E LARK DR
CHANDLER
AZ
852865773
Practice Location Phone/Fax
| Phone: | 4802276560 |
| Fax: |
Provider Mailing Location
3646 E LARK DR
CHANDLER
AZ
852865773
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |