| NPI | 1528011178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA ELISE HERRON Physical Therapist/President 480-354-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6133) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |