| NPI | 1811439029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SAMPLEY Owner/ Clinic Director 602-283-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 8092) |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2017-05-10 |