NPI | 1053426767 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BASTEN Owner 480-689-5515 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2022-05-05 |