| 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 |