| NPI | 1558587683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE TERESA LANGENBACH Owner 602-380-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 1829) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-11 |