| NPI | 1184319154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA CUADROS Billing & Credentialing Specialist 928-298-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-04-17 |