| NPI | 1689097651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI R GILRAY Owner 928-771-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 6784) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2019-01-16 |