| NPI | 1033511100 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICK O'BRIEN Managing Member 602-995-0400  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ P-1870208-5)  | 
| Enumeration Date | 2014-09-20 | 
| Last Update Date | 2014-09-20 |