| NPI | 1023243300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN POTTER Chief Executive Officer 928-242-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 2525) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |