| NPI | 1184272254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HONTIVEROS Owner/Physical Therapist 480-486-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |