| NPI | 1104591684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LYNN PERALTA CEO 602-315-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-05-23 |