| NPI | 1114424868 |
|---|---|
| Doing Business As | SPOONER SURPRISE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A SPOONER President 480-551-4958 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-07-20 |