| NPI | 1053628354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C HANSEN Owner 602-437-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 7650) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |