Healthcare Provider Details

I. General information

NPI: 1407851322
Provider Name (Legal Business Name): TUCSON PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 N ORACLE RD STE 101
TUCSON AZ
85704-3850
US

IV. Provider business mailing address

5501 N ORACLE RD STE 101
TUCSON AZ
85704-3850
US

V. Phone/Fax

Practice location:
  • Phone: 520-293-5551
  • Fax:
Mailing address:
  • Phone: 520-293-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DENNIS A DRISCOLL
Title or Position: PRESIDENT
Credential: PT
Phone: 520-293-5551