Provider Demographics
NPI:1972614089
Name:W & W REHAB SERVICES,L.L.C.
Entity type:Organization
Organization Name:W & W REHAB SERVICES,L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MA,
Authorized Official - Phone:520-293-5747
Mailing Address - Street 1:15969 N. ORACLE RD.
Mailing Address - Street 2:171
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739
Mailing Address - Country:US
Mailing Address - Phone:520-293-5747
Mailing Address - Fax:520-293-5626
Practice Address - Street 1:15969 N. ORACLE RD.
Practice Address - Street 2:171
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739
Practice Address - Country:US
Practice Address - Phone:520-293-5747
Practice Address - Fax:520-293-5626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ27841Medicare ID - Type Unspecified