| NPI | 1366084501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARCOALDI Phoenix Contract/Cred. Specialist 724-343-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |