| NPI | 1083779649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCIA VIRGA Office Manager 480-726-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-02-09 |