| NPI | 1659861771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCAS SUE CISKOWSKI President/PT 480-598-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 0647) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |