| 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 |