| NPI | 1710355599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY HELEN COREY Manual Therapist 928-273-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ MT-11435) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: AZ MT-11435) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |