| NPI | 1194890186 |
|---|---|
| Doing Business As | MAIN STREET PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN PLANTE President 928-343-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-06-21 |