| NPI | 1295139202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARB DAVIS Billing Manager 602-697-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 7992) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |