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NPI Code Detail

MEDICARE: CLARY GIRDNER DPT

MEDICARE:   CLARY  GIRDNER  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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1639930241
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARY GIRDNER DPT
Provider Business Mailing Address
First Line : 5732 W CACTUS GARDEN DR
Second Line :
City : TUCSON
State : AZ
Zip : 85742-8129
Country : US
Telephone Number : 417-773-2466
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W CORTARO FARMS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85742-8645
Country : US
Telephone Number : 520-325-4002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “ CLARY GIRDNER DPT” Practice Location

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