Healthcare Provider Details

I. General information

NPI: 1780467506
Provider Name (Legal Business Name): STEPHANIE CORRIGAN ROBERTS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7493 E TANQUE VERDE RD
TUCSON AZ
85715-3477
US

IV. Provider business mailing address

2255 W ORANGE GROVE RD APT 19203
TUCSON AZ
85741-3161
US

V. Phone/Fax

Practice location:
  • Phone: 520-325-4002
  • Fax: 520-325-4227
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-33159
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: