| NPI | 1306504758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT MELLISH Admin 602-980-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-05-02 |