| NPI | 1932273109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ISAAC SCHIBEL Manager 602-569-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5435) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5893) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-09-23 |