| NPI | 1699863530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE EATON Owner 602-374-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 3984) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-02-07 |