| NPI | 1750615761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENO ROMAN RIVERA President 602-571-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-12-17 |