| NPI | 1992741425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE RENEE ALTHERR Practice Manager 520-322-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-04-26 |