| NPI | 1891964284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA VICTORIO Manager/O PT Ician 480-840-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 630) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2009-08-06 |