| NPI | 1750385654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN JOHNSON Co Owner 928-537-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-04-19 |