| NPI | 1952493520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE DIRENFELD President 520-297-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 1135) |
| 225100000X Physical Therapist (Licence: AZ 5543) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |