| NPI | 1841837838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARB DAVIS Credentialing/Billing Manager 480-426-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |