| NPI | 1215995493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ELIZABETH OLSEN Clinic Administrator/Co Owner 520-648-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-07-21 |