Organization
ORTHOMED, LLC
Active
Other names
Proactive Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WOOLF (OWNER)
(520) 321-0204
Entity
Organization
Contact information
Practice address
8770 N. THORNYDALE RD, SUITE 100, TUCSON, AZ 85742
(520) 742-7107
(520) 742-9010
Mailing address
P.O. BOX 64207, TUCSON, AZ 85728
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825036
—
AZ
Enumeration date
08/21/2009
Last updated
11/16/2016
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