| NPI | 1760816375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ZIMMERMAN Owner/Senior Vice President 520-352-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ OTC5362) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2015-05-05 |