| NPI | 1164159380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LALONDE Owner/Physical Therapist 480-202-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2023-09-13 |