| NPI | 1881016129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHAN REATH KAY Doctor/Owner 520-577-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ D052454) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-13 |