| NPI | 1689228686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE MAGUIRE Physical Therapist 928-607-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-12-04 |