Provider Demographics
NPI:1376954115
Name:DESERT PALMS PHYSICAL THERAPY - ORO VALLEY, LLC
Entity Type:Organization
Organization Name:DESERT PALMS PHYSICAL THERAPY - ORO VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANKE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, MSC, OCS, CMPT,
Authorized Official - Phone:520-531-0305
Mailing Address - Street 1:7400 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2306
Mailing Address - Country:US
Mailing Address - Phone:520-531-0305
Mailing Address - Fax:520-742-4907
Practice Address - Street 1:12142 N RANCHO VISTOSO BLVD
Practice Address - Street 2:SUITE B-150
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1842
Practice Address - Country:US
Practice Address - Phone:520-338-2728
Practice Address - Fax:520-742-4907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty