| NPI | 1023362555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MITCHELL Administrator 928-425-5721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ OTC3084) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ OTC3084) |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: AZ OTC3084) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: AZ OTC3084) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2013-01-23 |