NPI | 1457591612 |
---|---|
Entity Type | Organization |
Authorized Contact | HECTOR A VARELA Owner 623-412-2241 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 1046) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 1614) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2009-03-02 |