| NPI | 1225751480 |
|---|---|
| Doing Business As | SPOONER GILBERT |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SPOONER President/CEO 602-527-0586 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |