| NPI | 1962649293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA STICKLE Billing Manager 480-993-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6572) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |