| NPI | 1144495557 |
|---|---|
| Doing Business As | THE BODY SHOP PT CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE MILLER Physical Therapist 928-214-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6213) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2012-11-20 |