| NPI | 1104824267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA B SCRUGGS Office Manager 480-661-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5631) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |