| NPI | 1184628562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LINCOLN SPARROW Owner 520-408-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 3974) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-07-24 |