| NPI | 1639693963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOKI K AMIN Owner Managing Member 480-900-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 8041) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |