| NPI | 1689861288 |
|---|---|
| Doing Business As | RESTORATION BODY WORKS WELLNESS AND PHYSICAL THERAPY PLLC |
| Former Legal Business Name | MARI DIECKMAN |
| Entity Type | Organization |
| Authorized Contact | ELVIA CUEVAS Office Manager 928-213-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2093) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-01-04 |