| NPI | 1245479880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AMSELLEM Owner / Founder 480-216-3938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2772) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ 2772) |
| 2251S0007X Physical Therapist, Sports (Licence: AZ 2772) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 2772) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |