NPI | 1194295733 |
---|---|
Doing Business As | RESTORE AT THE HACIENDA AT THE RIVER |
Entity Type | Organization |
Authorized Contact | DAVID FRESHWATER Authorized Official 520-797-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2018-11-27 |
Last Update Date | 2018-11-27 |