| NPI | 1134459738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRIC BURTON SPEAGLE Chief Executive Officer 480-612-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |