| NPI | 1124640131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARTINEZ PT 520-275-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |