| NPI | 1174616734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JACOBS Medical Director 520-219-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 19347) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-01 |