| NPI | 1215319413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HEFFERON CEO/Owner 602-639-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7917) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-03-16 |