NPI | 1245500115 |
---|---|
Doing Business As | BODY RECOVERY CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERTA D RUSSELL Owner 928-451-2588 |
Organization Subpart ? | No |
Primary Taxonomy | 173C00000X Reflexologist |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ MT-04916) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-04-26 |