| NPI | 1912031345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R PAULY President 480-250-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5440) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: AZ 5440) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 5440) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: AZ 5440) | |
| 225X00000X Occupational Therapist (Licence: AZ 5440) | |
| 224P00000X Prosthetist (Licence: AZ 5440) | |
| 222Z00000X Orthotist (Licence: AZ 5440) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-05-19 |