| NPI | 1932439031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MOODY Credentialing Coordinator 480-755-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 6614) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |