NPI | 1467599035 |
---|---|
Entity Type | Organization |
Authorized Contact | JANN W. GOODMAN President/Owner 602-321-1698 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5005) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2012-02-20 |