| NPI | 1487894119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL VAN STEE Physical Therapist 520-247-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5405) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |