| NPI | 1619333739 |
|---|---|
| Doing Business As | THERAPEUTIC TKD |
| Entity Type | Organization |
| Authorized Contact | RAYMUND VELASCO President/Owner 480-381-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health (Licence: AZ PT 7731) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2022-05-04 |