| NPI | 1356772610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SANCHEZ Member 928-201-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 132700000X Dietary Manager |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |