| NPI | 1336149723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. PAINCHAUD V.P./Secretary & Statutory Agent 623-465-7653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ AZ #617) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-08-22 |