| NPI | 1932306008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE C FOURNIER Managing Member Shc President 520-326-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6177) |
| 225100000X Physical Therapist (Licence: AZ 5981) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |