| NPI | 1689871956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S. WICK President 520-544-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 26973) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-01-10 |