| NPI | 1821282179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RANDALL Owner 480-730-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 569) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |