| NPI | 1881850329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE ELDRED President 928-830-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 7171) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |