| NPI | 1124246723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNI MOYER Owner 602-320-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5008) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AZ 5008) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |