| NPI | 1043346760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT WILSON Administrator 520-733-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ OTC-1775) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-26 |