| NPI | 1639607997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DALE JACKSON Physical Therapist 520-784-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 8158) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |