| NPI | 1649504572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT S. SMITH Member 480-563-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ 2132) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |