Organization
TUCSON CONCUSSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRSCH HANDMAKER M.D. (CHAIRMAN/CEO)
(310) 259-2090
Entity
Organization
Contact information
Practice address
5199 E FARNESS DR, SUITE 101, TUCSON, AZ 85712-2134
(844) 822-6824
Mailing address
5199 EAST FARNESS, SUITE 101, TUCSON, AZ 85712-2134
(520) 620-9100
(844) 822-6824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/26/2015
Last updated
11/25/2015
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