| NPI | 1588944078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL GODOY President 480-239-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 5675) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2012-01-20 |