SVASSAMA

PRESCOTT, AZ
NPI1083877070
Entity TypeOrganization
Authorized ContactERIC D BRUMMEL
Owner
928-445-5639
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: AZ  3833)
Enumeration Date2008-07-09
Last Update Date2008-07-09
Business Address
SVASSAMA
3101 CLEARWATER DR SUITE D
PRESCOTT, AZ 86305-7180
Phone number: 928-445-5639
Mailing Address
SVASSAMA
PO BOX 13159
PRESCOTT, AZ 86304-3159
Phone number: 928-445-5639