| NPI | 1598188096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON WAYNE HOLM Physical Therapist 480-244-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 9343) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |