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 |