Organization
CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES
Active
Other names
Children's Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCGUIRE (CREDENTIALING SPECIALIST)
(520) 324-3027
Entity
Organization
Contact information
Practice address
2600 N WYATT DR, TUCSON, AZ 85712-6106
(520) 324-5437
Mailing address
2600 N WYATT DR, TUCSON, AZ 85712-6106
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170359
—
AZ
Enumeration date
02/22/2019
Last updated
02/22/2019
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