NPI | 1285526863 |
---|---|
Other Name | STEPHA KSIONDA OTR |
Entity Type | Organization |
Authorized Contact | STEPHANIE NICOLE KSIONDA Owner/CEO 520-609-4324 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-07-17 |