| NPI | 1669778510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL WITTEKIND Physical Therapist/Owner&Operator 928-774-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6167) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2016-09-08 |