| NPI | 1346637550 |
|---|---|
| Other Name | MDWELLNESSANDREHAB |
| Entity Type | Organization |
| Authorized Contact | ROEL MANUEL EVANGELISTA Managing Member 602-332-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-04-26 |