| NPI | 1245965342 |
|---|---|
| Doing Business As | TRI STATE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | HANZ TABORA Physical Therapist/ Officer 928-248-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-09-29 |