| NPI | 1104105642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M ORTEGA Speech Pathologist 520-331-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0821) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |