| NPI | 1376168856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JEAN MCLEARRAN Physical Therapist/Owner 520-300-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |