| NPI | 1194994665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN E MEDOFF Physical Therapist 928-526-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 2595) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2011-01-18 |