| NPI | 1689853160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LOUISE BENALLY Certified Athletic Trainer 623-572-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 0262) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |