Organization
SANTA RITA OUTPATIENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ZIMMERMAN (OWNER/SENIOR VICE PRESIDENT)
(520) 352-3019
Entity
Organization
Contact information
Practice address
170 N LA CANADA DR, SUITE 20, GREEN VALLEY, AZ 85614-3141
(520) 352-3049
(520) 625-2871
Mailing address
150 N LA CANADA DR, GREEN VALLEY, AZ 85614-3129
(520) 625-0178
(520) 625-2113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
OTC5362
AZ
Other
Enumeration date
08/30/2013
Last updated
05/05/2015
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