| NPI | 1871031583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MICHELLE EBEY CEO 928-782-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 28377) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2022-12-09 |