| NPI | 1871555698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JAMES LIHVARCHIK Owner 623-374-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 5210) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 5510) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |