| NPI | 1730627175 |
|---|---|
| Doing Business As | FORTUNA MEDICAL GROUP PHYSICAL THERAPY & REHAB |
| Entity Type | Organization |
| Authorized Contact | OSWALD LOPEZ President 928-342-7046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 158) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |