| 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 |