| NPI | 1811445398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH MARCOALDI Phoenix Contract/Cred. Specialist 724-343-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |