| NPI | 1568699593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA EVEGLOWNIAK TOKARCZYK Owner 928-634-2938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6207PT) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |