MEDICARE: AH PHYSICAL THERAPY

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1427448208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AH PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	7329 W CLEAR CANYON DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-5134
Country	:	US
Telephone Number	:	520-403-6965
Fax Number	:

Provider Business Practice Location Address
First Line	:	7329 W CLEAR CANYON DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-5134
Country	:	US
Telephone Number	:	520-403-6965
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. ADI HALILI
Credential	:	PT
Telephone Number	:	520-403-6965

Provider Enumeration Date	:	01/30/2015
Last Update Date	:	01/30/2015

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