| NPI | 1043557358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CASEY BOYSEL President 520-333-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 4393) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |