| NPI | 1366953549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW JAGODZINSKI Owner 623-234-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 5576) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-06-26 |