| NPI | 1366585945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY W. DEERING President 928-753-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 1689) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 0104) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2017-06-04 |