| NPI | 1407049331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE MARIE CHURCHMAN Office Manager 480-983-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 378) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-10-02 |