| NPI | 1346677242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KEMPTON Owner 480-813-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8527az) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: AZ 305r00000x) |
| 305R00000X Preferred Provider Organization (Licence: AZ 305r00000x) | |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-18 |