Organization
POST-THERAPY RECONDITIONING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JEFFREY MARQUEZ (OWNER, CEO)
(520) 292-1363
Entity
Organization
Contact information
Practice address
2410 W RUTHRAUFF RD STE 110P, TUCSON, AZ 85705-1952
(520) 293-7736
(520) 292-1362
Mailing address
2410 W RUTHRAUFF RD STE 110P, TUCSON, AZ 85705-1952
(520) 293-7736
(520) 292-1362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
363L00000X
Nurse Practitioner
Primary
AP5496
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563892
—
AZ
Enumeration date
02/05/2016
Last updated
02/08/2016
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