| NPI | 1811060031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SUE LEMMER Manager 928-775-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 4304) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-05-13 |