| NPI | 1124011812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J LONG Owner/PT 602-866-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 225100000X Physical Therapist | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-01-19 |