| NPI | 1184921819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DEWOLF Member 480-282-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |