| NPI | 1134361017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LYNNE WARREN Physical Therapist 602-380-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7050) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2014-05-29 |