| NPI | 1023249323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH J NEDBERG Owner 480-451-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist (Licence: AZ E2106133) | |
| 251E00000X Home Health (Licence: AZ E2106133) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |