Provider Demographics
NPI:1407246325
Name:HALILI PHYSICAL THERAPY
Entity Type:Organization
Organization Name:HALILI PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADI
Authorized Official - Middle Name:
Authorized Official - Last Name:HALILI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:520-403-6965
Mailing Address - Street 1:268 E RIVER RD STE 130
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5842
Mailing Address - Country:US
Mailing Address - Phone:520-577-4717
Mailing Address - Fax:520-620-9747
Practice Address - Street 1:268 E RIVER RD
Practice Address - Street 2:130
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5842
Practice Address - Country:US
Practice Address - Phone:520-403-6965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29272251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty