| NPI | 1508337213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A ENGLERT Credentialing 602-385-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 207X00000X Orthopaedic Surgery | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2019-08-05 |