NPI | 1114322807 |
---|---|
Entity Type | Organization |
Authorized Contact | WILL HUMPHREYS President/Owner 520-868-0098 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5881) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2014-10-24 |