| NPI | 1992499719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY GADDIS Medical Billing Director 480-306-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |