Therapy Group Of Tucson Pllc | |
5700 E Pima St Ste G Tucson AZ 85712-5638 | |
(520) 232-2021 | |
(520) 232-2553 |
Full Name | Therapy Group Of Tucson Pllc |
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Speciality | Clinic/Center |
Location | 5700 E Pima St Ste G, Tucson, Arizona |
Authorized Official Name and Position | Sarah Trautman (CEO) |
Authorized Official Contact | 5202322021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Therapy Group Of Tucson Pllc 1830 E Broadway Blvd Ste 124-316 Tucson AZ 85719-5966 Ph: (520) 232-2021 | Therapy Group Of Tucson Pllc 5700 E Pima St Ste G Tucson AZ 85712-5638 Ph: (520) 232-2021 |
NPI Number | 1639322134 |
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Provider Enumeration Date | 10/28/2008 |
Last Update Date | 02/14/2025 |
Certification Date | 02/14/2025 |
Medicare PECOS PAC ID | 4486708294 |
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Medicare Enrollment ID | O20090813000182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639322134 | NPI | - | NPPES |
Provider Name | John Meades |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1679748396 PECOS PAC ID: 4981767910 Enrollment ID: I20090116000221 |
Provider Name | Jatzen S Hurtado |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1154616225 PECOS PAC ID: 3678886538 Enrollment ID: I20150721001875 |
Provider Name | Kristin M Faucher |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1588952519 PECOS PAC ID: 5395058267 Enrollment ID: I20150721001941 |
Provider Name | Miranda C Houska |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861868416 PECOS PAC ID: 6800279845 Enrollment ID: I20220824000255 |
Provider Name | Clayton Thomas Shirk |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1174864458 PECOS PAC ID: 7214310283 Enrollment ID: I20220824001573 |
Provider Name | Nicole D Palmer |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1588156319 PECOS PAC ID: 2769865757 Enrollment ID: I20220824002497 |
Provider Name | Nichole M Romeo |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1710442207 PECOS PAC ID: 1658755640 Enrollment ID: I20220824002959 |
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