NPI | 1356342216 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA H. BURRY Office Manager 623-544-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 4108) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2020-08-22 |