| NPI | 1437551041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER PETROSKY Human Resource 602-547-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11198) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |