| NPI | 1164182036 |
|---|---|
| Doing Business As | SPOONER SURPRISE CITY CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A SPOONER President / Owner 480-551-4958 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2022-07-20 |