NPI | 1609299494 |
---|---|
Doing Business As | SPOONER PEORIA |
Entity Type | Organization |
Authorized Contact | TIMOTHY A SPOONER President 480-551-4958 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2014-01-29 |
Last Update Date | 2022-07-25 |