| NPI | 1265479406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J MCWHORTER Administrator 623-544-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-10-29 |