WESTERN PHYSIATRY, PC
Restorative Service Providers at Hospital Dr, Tucson, AZ

License number
Arizona 26973
Category
Restorative Service Providers
Type
Rehabilitation Practitioner
Owner
Name: JEFFREY WICK MD
Title: OWNER/PRESIDENT
Phone: (520) 471-3764
Address
Address
1921 W Hospital Dr, Tucson, AZ 85704
National Provider ID: 1194128710
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WESTERN PHYSIATRY, PC

658 W Tremolo Ln, Tucson, AZ 85737

Status:
Inactive
Inactive reason:
Delinquent annual report
Registration:
Oct 16, 2009
Inactive since:
Jan 20, 2015
State ID:
-1559735-9
Expiration:
PERPETUAL
President:
Jeffrey S Wick (President), 658 W Tremolo Ln, Tucson, AZ 85737 (Physical)
Business type:
INVESTMENTS ENTREPRENEURIAL VENTURES

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