NPI | 1013312602 |
---|---|
Entity Type | Organization |
Authorized Contact | ROEL MANUEL EVANGELISTA Managing Member 602-332-2490 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2014-10-27 |
Last Update Date | 2014-10-30 |