| NPI | 1578592705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY ALLEN HALCOMB Owner 602-237-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AZ AZ3238) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-02-15 |