| NPI | 1851859664 |
|---|---|
| Doing Business As | DISTINCT PT |
| Entity Type | Organization |
| Authorized Contact | JOHN A LEWIS Owner/Physical Therapist 480-887-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-06-11 |