| NPI | 1093193716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADDAR ICHILOV Administrator 602-439-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 11525) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |