Provider Demographics
NPI:1780945824
Name:SOUTHERN ARIZONA PHYSICAL THERAPY
Entity type:Organization
Organization Name:SOUTHERN ARIZONA PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:520-349-0989
Mailing Address - Street 1:7725 N ORACLE RD
Mailing Address - Street 2:STE. 121
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6986
Mailing Address - Country:US
Mailing Address - Phone:520-544-2273
Mailing Address - Fax:520-544-4227
Practice Address - Street 1:7725 N ORACLE RD
Practice Address - Street 2:STE. 121
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6986
Practice Address - Country:US
Practice Address - Phone:520-544-2273
Practice Address - Fax:520-544-4227
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHERN ARIZONA URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-05
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy