| NPI | 1871561605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM T ANAYA Physical Therapist 520-294-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2414) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-08-13 |