| NPI | 1538855622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALEINA BULGER Credentialing Manager 602-457-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |