| NPI | 1003984394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHELYN RUDDELL President 480-882-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ DDD704011) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ DDD704011) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ DDD704011) | |
| Enumeration Date | 2006-12-03 |
| Last Update Date | 2020-08-22 |