| NPI | 1881993996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIJKE SCHUPACK Member 928-301-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ Z146505) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-09-02 |