| 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 |