| NPI | 1134308596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EGGERS Physical Therapist/Owner 520-818-3856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8748) |
| 225100000X Physical Therapist (Licence: AZ 2987) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2018-07-03 |