| NPI | 1912683699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ADAMS Owner 480-306-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 225100000X Physical Therapist | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-09-26 |