| NPI | 1649521477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CADBY Medicare Administrator 602-499-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 8719) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |