| NPI | 1861997231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE SHAUF Designated Signature 623-594-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10051) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |