| NPI | 1770110801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ORNELAS Owner, Physical Therapist 928-421-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2022-05-11 |