| NPI | 1881745677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA ANNE MILLER Office Manager 602-404-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5864) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |