| NPI | 1003049297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI LING CHAN Manager 623-521-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SPL5051) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |