| NPI | 1023306735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R BULEN Member 520-296-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ MD20625) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-10-19 |