| NPI | 1629033121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMORA VAN DRIEL Business Office Manager 928-537-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 2451) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-10-04 |