SONORAN SHOULDER ELBOW HAND REHAB PC; NPI #1073509808

Contact Information

SONORAN SHOULDER ELBOW HAND REHAB PC

899 N. WILMOT ROAD
SUITE D3
TUCSON, AZ 85711-1713

Phone: 520-747-2959
Fax: 520-747-2918
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hand	2251H1200X	65	Physical Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for SONORAN SHOULDER ELBOW HAND REHAB PC

NPI Number 1073509808

LBN Legal business name SONORAN SHOULDER ELBOW HAND REHAB PC

Authorized official ANN VONKERSBURG - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2005

Last updated 10/05/2012 - About 14 years ago

Identifiers

AZ	License #	2084
AZ	Other	AZ0461690	BCBSAZ

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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