NPI | 1447141924 |
---|---|
Former Legal Business Name | LIVE LOVE DANCE INCORPORATED |
Entity Type | Organization |
Authorized Contact | KARA J WHITE Director 602-487-2117 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2025-07-11 |
Last Update Date | 2025-07-11 |