| NPI | 1871128231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MORGAN Owner 602-677-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-03-30 |