| NPI | 1831388388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BENTRUP Owner 480-361-4604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6089) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-08-15 |