NPI | 1104539691 |
---|---|
Doing Business As | POLARIS PT & WELLNESS |
Entity Type | Organization |
Authorized Contact | BRIGHAM WOODS Member 480-710-3819 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2022-12-30 |
Last Update Date | 2022-12-30 |