| NPI | 1750544623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANJA SNOWDEN Executive Assistant 480-706-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-05-05 |