NPI | 1154194827 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BERO Owner 480-216-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 208600000X Surgery |
225100000X Physical Therapist | |
2251X0800X Physical Therapist, Orthopedic | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2023-11-03 |
Last Update Date | 2025-08-13 |