Organization
MDR PHYSICAL THERAPY INC.
Active
Other names
Agility Spine and Sports PT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D ROBERTS P.T. (CEO)
(520) 884-9819
Entity
Organization
Contact information
Practice address
8987 E TANQUE VERDE RD, STE. 301, TUCSON, AZ 85749-9610
(520) 884-4292
Mailing address
8987 E TANQUE VERDE RD, STE. 301, TUCSON, AZ 85749-9610
(520) 884-4292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524805
—
AZ
Enumeration date
04/06/2012
Last updated
04/06/2012
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