| NPI | 1124441944 |
|---|---|
| Doing Business As | SPOONER SOUTH MOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A SPOONER President 480-551-4958 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2022-07-20 |