| NPI | 1053743963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI COTHRUN Owner 480-209-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2014-01-10 |