| |
4485 S I 19 Frontage Rd Ste 300, Green Valley, AZ 85614-5884 | |
(520) 393-4700 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 4485 S I 19 Frontage Rd Ste 300, Green Valley, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528526902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 Ph: () - | 4485 S I 19 Frontage Rd Ste 300, Green Valley, AZ 85614-5884 Ph: (520) 393-4700 |