| NPI | 1972122984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL MCMILLAN Owner 520-465-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-08-13 |