| NPI | 1861745671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHANU MONTGOMERY Physical Therapist 928-234-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 5387) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |