| NPI | 1699292201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WARREN Owner 702-443-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 10208) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2018-12-10 |