| NPI | 1992758577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL BORDEN Physical Therapist/Owner 520-884-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 1026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 803) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-07-23 |