| NPI | 1962167163 |
|---|---|
| Doing Business As | FYZICAL SOUTH SCOTTSDALE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER STANKO President 847-997-4344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-11-08 |