| NPI | 1245749399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON B PALADINO CEO 623-824-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 6812) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-03-17 |