| NPI | 1497987846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLI COOKE Manager 480-946-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6299) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2022-08-16 |