| NPI | 1003098559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALBERT BONACCI Owner 602-739-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 5814) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-01-16 |