| NPI | 1154326023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON KIERNAN Physical Therapist/Owner 928-634-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 5772) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-12-13 |