| NPI | 1235994641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WILLIAM ANDERSEN Owner/Physical Therapist 480-242-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |