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 |