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 |