| NPI | 1528816147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE W PETERSEN Owner, Physical Therapist 480-586-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |