| NPI | 1821445636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY BUCKLAND Owner 480-205-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-05-22 |
| Last Update Date | 2025-01-31 |