| NPI | 1013436641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANN FAYE SUDDOCK FOX Owner/Therapist 602-515-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-5245) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |