| NPI | 1518290030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S FAIRBANK Business Manager 480-626-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 7240) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2014-02-14 |