Provider Demographics
NPI:1316238918
Name:CATALINA REHABILITATION
Entity type:Organization
Organization Name:CATALINA REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-977-2256
Mailing Address - Street 1:3973 E SONGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9508
Mailing Address - Country:US
Mailing Address - Phone:520-977-2256
Mailing Address - Fax:909-803-9790
Practice Address - Street 1:3973 E SONGBIRD LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-9508
Practice Address - Country:US
Practice Address - Phone:520-977-2256
Practice Address - Fax:909-803-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMED 4542261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation