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 |