| NPI | 1053368589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ELLIOTT RUBENSTEIN CEO 480-325-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC3115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ OTC3115) |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2020-08-22 |