| NPI | 1881010064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA C KOENITZER TATE Physical Therapist 928-699-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 7710) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-07-13 |