| NPI | 1659792836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEIGH BANCALE Physical Therapist Assistan 800-391-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 10760A) |
| Enumeration Date | 2013-12-14 |
| Last Update Date | 2014-08-01 |