| NPI | 1760156848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA PATRICE GAITHER Physical Therapist/Managing Member 520-243-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-09-15 |