| NPI | 1124176342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER VINCENT PAKULIS President 480-759-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 2853) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-01-03 |