| NPI | 1427386879 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JESSICA MARIE KWIATKOWSKI Physical Therapist 480-373-9700 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 8711) | 
| Enumeration Date | 2009-11-23 | 
| Last Update Date | 2009-11-23 |