| NPI | 1851575674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L MUNGER Owner 602-264-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6451) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |