| NPI | 1013963487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE CAMPBELL Billing Manager 623-486-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 200003911) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-10-21 |