| NPI | 1871264242 |
|---|---|
| Doing Business As | SPOONER LAKE PLEASANT |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A SPOONER President 480-551-4958 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2023-06-29 |