| NPI | 1780460295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY KATHRYN THOMPSON Owner 602-750-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |