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Organization
SANDERSON & DUBOIS MOMENTUM PHYSICAL THERAPY LLC
Active
Organization
SANDERSON & DUBOIS MOMENTUM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DUBOIS P.T., CSCS (PARTNER)
(520) 733-6227
Entity
Organization
Contact information
Practice address
6206 E PIMA ST, SUITE 3, TUCSON, AZ 85712-7000
(520) 733-6227
(520) 733-7328
Mailing address
6206 E PIMA ST, SUITE 3, TUCSON, AZ 85712-7000
(520) 733-6227
(520) 733-7328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109950
AHCCCS
AZ
01
—
189339600
US DEPT OF LABOR
AZ
01
—
2Z3779
HEALTH NET OF AZ
AZ
01
—
AZ0460450
BCBS OF AZ
AZ
Enumeration date
10/24/2005
Last updated
02/15/2011
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