| NPI | 1346830247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND POPP Owner/Director 623-777-1870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |