| NPI | 1881892891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH J MANN President 623-875-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 598) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |