| NPI | 1790262715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE NEW-JENKINS PT,D PT 928-310-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6768) |
| 225X00000X Occupational Therapist | |
| 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 6768) | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |