NPI | 1518130319 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN JOSEPH DAVID President 480-726-3305 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7573) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6628) |
Enumeration Date | 2008-04-12 |
Last Update Date | 2023-06-01 |