| NPI | 1962697854 |
|---|---|
| Doing Business As | VARSITY PT |
| Entity Type | Organization |
| Authorized Contact | CHARLES KEVIN CLARK Owner 480-236-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5471) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |