| NPI | 1114215407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI R CORDOVA Owner 520-280-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical | |
| 103TS0200X Psychologist, School | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-11-28 |