| NPI | 1568504843 |
|---|---|
| Other Name | PHYSICAL THERAPY AT FAC |
| Entity Type | Organization |
| Authorized Contact | DONALD EVONS BERLYN President 928-556-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ AZPT1463) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |