| NPI | 1386644599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH G LUJAN Billing Representative 623-882-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6122) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |