| NPI | 1093180127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RENO Owner 928-440-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 10984) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2025-05-29 |