| NPI | 1972915494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI BRANNON Operations Manager 602-826-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 8042) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-11-05 |