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Organization

MARANA PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CONNIE C MCCOLLOW P.T. (OWNER)
(520) 308-4878
Entity
Organization

Contact information

Practice address
9190 N COACHLINE BLVD STE 100, TUCSON, AZ 85743-7359
(520) 308-4878
(520) 308-4874
Mailing address
9190 N COACHLINE BLVD STE 100, TUCSON, AZ 85743-7359
(520) 308-4878
(520) 308-4874

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0460840
BCBS PROVIDER #
AZ
01
200668200
ACS PROVIDER #
AZ
Enumeration date
01/02/2006
Last updated
08/07/2020
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