NPI | 1154970457 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE MALONEY Owner/Provider 602-594-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-10-09 |