| NPI | 1467074955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY EDGAR Authorized Official 480-206-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-09-21 |