Provider Demographics
NPI:1083795777
Name:R & R PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:R & R PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSE MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GECOSALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-325-2001
Mailing Address - Street 1:4099 E 22ND ST STE 103
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5300
Mailing Address - Country:US
Mailing Address - Phone:520-325-2001
Mailing Address - Fax:520-325-2007
Practice Address - Street 1:4099 E 22ND ST STE 103
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-5300
Practice Address - Country:US
Practice Address - Phone:520-325-2001
Practice Address - Fax:520-325-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ846818Medicaid
AZZ80060Medicare ID - Type UnspecifiedPROVIDER ID