| NPI | 1902138431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RAOUL REEBERG Managing Director 480-507-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6440) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |