| NPI | 1508139429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A SHEITELMAN Manager 623-214-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2014-06-05 |