| NPI | 1013057611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHARLES DONAHUE Owner Physical Therapist 602-318-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5998) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |