| NPI | 1457970949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE N DIEDRICH Physical Therapist, Sole Owner 520-955-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QA0900X Clinic/Center, Amputee |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |