| NPI | 1982887113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA L PONGRATZ President/Owner 602-222-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5241) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |