| NPI | 1134582851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER H NORTON Manager 928-651-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 10765) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |