Healthcare Provider Details

I. General information

NPI: 1336229475
Provider Name (Legal Business Name): PHYSIATRY ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 N COUNTRY CLUB RD STE B
TUCSON AZ
85716-2831
US

IV. Provider business mailing address

2102 N COUNTRY CLUB RD STE B
TUCSON AZ
85716-2831
US

V. Phone/Fax

Practice location:
  • Phone: 520-795-8371
  • Fax: 520-320-3808
Mailing address:
  • Phone: 520-795-8371
  • Fax: 520-320-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN HELLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 520-795-8371