| NPI | 1750584108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DESTOUT LEBEC Physical Therapist 928-213-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 4052) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-11-20 |