| NPI | 1073515235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MARIE MESA Rece PT Ionist 928-649-9726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13044799E) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-01-09 |