NPI | 1952333114 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEBOLA BOB ADEKANMBI Director 623-939-3112 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 3951) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |