| NPI | 1376714253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ROBERT CARROLL Business Manager 480-633-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6795) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2009-05-05 |