| NPI | 1023317112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KUNICH Director 480-722-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 5059) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-05-12 |