| NPI | 1134632342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JEAN KELLY KERNAN Physical Therapist/Owner 480-524-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6280) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |