MEDICARE: DANIEL C. KAMIMURA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9841	AZ

General Provider Information

NPI Number	:	1144334640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL C. KAMIMURA DPT

Provider Business Mailing Address
First Line	:	PO BOX 36867
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85740-6867
Country	:	US
Telephone Number	:	520-747-9225
Fax Number	:	520-207-1537

Provider Business Practice Location Address
First Line	:	3720S PARK AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-5071
Country	:	US
Telephone Number	:	520-623-5551
Fax Number	:	520-624-7091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/28/2015

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