| NPI | 1083098677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MILLIGAN Manager 520-335-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2018-12-14 |