NPI | 1700264504 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND ANTHONY POPP Owner/Director 623-777-1870 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 8250) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-11-03 |