Organization
DIRENFELD PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRUCE DIRENFELD P.T. (PRESIDENT)
(520) 297-8842
Entity
Organization
Contact information
Practice address
2163 W ORANGE GROVE ROAD, TUCSON, AZ 85741-3118
(520) 297-8842
(520) 297-6986
Mailing address
2163 W ORANGE GROVE ROAD, TUCSON, AZ 85741-3118
(520) 297-8842
(520) 297-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1135
AZ
225100000X
Physical Therapist
5543
AZ
225100000X
Physical Therapist
Primary
5765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0250730
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/29/2006
Last updated
08/22/2020
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