| NPI | 1922387489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD KALLAIL Physical Therapist 623-326-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ 9435) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |