| NPI | 1912067976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDI G BLOOMENSTEIN Physical Therapist 480-443-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 0087104) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-04-12 |