| NPI | 1790133916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RONDINA Owner 602-616-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 5518) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |