MEDICARE: CATALINA REHABILITATION

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	261QR0400X	Rehabilitation Clinic/Center	MED 4542	AZ

General Provider Information

NPI Number	:	1316238918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATALINA REHABILITATION

Provider Business Mailing Address
First Line	:	3973 E SONGBIRD LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85739-9508
Country	:	US
Telephone Number	:	520-977-2256
Fax Number	:	909-803-9790

Provider Business Practice Location Address
First Line	:	3973 E SONGBIRD LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85739-9508
Country	:	US
Telephone Number	:	520-977-2256
Fax Number	:	909-803-9790

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MR. CHRISTOPHER L MARSH
Credential	:	D.O.
Telephone Number	:	520-977-2256

Provider Enumeration Date	:	04/29/2011
Last Update Date	:	04/29/2011

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