| NPI | 1770930166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KNOX Practice Administrator 602-595-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |