| NPI | 1386871929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DYKSTRA Physical Therapist/President 602-295-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6132) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |