| NPI | 1629341854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MICHELLE PEDERSEN Owner/President 520-603-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8793) |
| Enumeration Date | 2012-02-19 |
| Last Update Date | 2012-02-19 |