| NPI | 1538307277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PAUL MARINO Founder 480-209-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251S0007X Physical Therapist Sports (Licence: AZ 5898) | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-04-21 |