| NPI | 1407917370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM D SIPE Owner Member 623-334-9689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7011) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 3483) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-11-06 |