| NPI | 1124215231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SLADE Office Manager 480-833-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2014-11-04 |