| NPI | 1134304314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AARON MIRANDA Owner 602-249-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 5061) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2011-10-11 |