| NPI | 1316311319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DEWOLF Owner, CEO 480-282-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: AZ AP7566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10198) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2015-12-08 |