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NPI 1215263314 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Prescott, AZ
Provider details
- NPI number
- 1215263314
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Authorized official
- Sandra Tillman, President
- License
- BH3230 (AZ)
Mailing address
609 W Gurley St
Prescott, AZ 86305
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2009-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.