| NPI | 1811465297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN PIERCE Owner 602-788-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |