Organization
CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES
Active
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
Update your record
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