| NPI | 1306239512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL Y MALMQUIST President 928-726-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 9671) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1190780) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |