| NPI | 1679600480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARVIN HENRY SHORT President 928-782-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 0700005340) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-11-05 |