| NPI | 1104092840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE NGUYEN KAMON-BRANCAZIO Owner/President 928-680-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6192) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-07-01 |