| NPI | 1407360183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY RANDEL BRIMHALL Physical Therapist 602-820-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-11-06 |