Organization
ORTHOMED LLC
Active
Other names
ProActive Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA LEWIS (ADMINISTRATOR)
(520) 829-7712
Entity
Organization
Contact information
Practice address
8820 E BROADWAY BLVD, TUCSON, AZ 85710-4035
(520) 829-7741
Mailing address
PO BOX 64207, TUCSON, AZ 85728-4207
(520) 829-7712
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
AZ
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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