NPI | 1104836501 |
---|---|
Entity Type | Organization |
Authorized Contact | R SAMUEL ANDERSON Owner, President 480-833-7879 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AZ 778,1328,5237) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2010-08-20 |