| NPI | 1932801370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO PISANO Owner 602-548-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |