| NPI | 1013425792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA MARIA FLANNAGAN Member/Manager 602-617-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225700000X Massage Therapist | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |