NPI | 1922482017 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERSON WAYNE HOLM Owner 480-699-4845 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 9343) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2020-07-28 |