| NPI | 1912207960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN ANDERSON Manager 602-954-7742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 3369) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |