| NPI | 1124014253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE M SCHAFER Office Manager 480-626-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 3031) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 5899) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1902) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-09-24 |