| NPI | 1356585871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CASEY BOYSELL Physician 520-326-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 4393) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |