Provider Demographics
NPI:1467779967
Name:SOUTHERN ARIZONA THERAPY NETWORK INC.
Entity Type:Organization
Organization Name:SOUTHERN ARIZONA THERAPY NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBOIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:520-733-6227
Mailing Address - Street 1:6206 E PIMA ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-7000
Mailing Address - Country:US
Mailing Address - Phone:520-733-6227
Mailing Address - Fax:
Practice Address - Street 1:5330 N CALLE BUJIA
Practice Address - Street 2:C/O JOANNE SMITH
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5217
Practice Address - Country:US
Practice Address - Phone:520-299-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty