NPI | 1124245402 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISA MARLO WASSERMAN Owner 480-545-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 5378) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |