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Organization

REHAB ARIZONA PHYSICAL AND HAND REHABILITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINTYA MARCELLA DIAZ (BILLING)
(480) 649-3111
Entity
Organization

Contact information

Practice address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 649-3111
(480) 649-3113
Mailing address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 649-3111
(480) 649-3113

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2478
AZ
174400000X
Specialist
Primary
5385
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
153977
AHCCS
AZ
01
2Z2223
HEALTHNET
AZ
01
AZ0463540
BCBS ID NUMBER
AZ
Enumeration date
05/16/2007
Last updated
01/08/2008
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