| NPI | 1962621458 |
|---|---|
| Doing Business As | WEST PINE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | PATTI DENNIS Officer 480-396-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MO I372802) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |