| NPI | 1366785479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M PETRONELLA President 520-307-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 20559) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |