| NPI | 1194506550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRI MALONE Billing Specialist 480-257-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-06-06 |