| NPI | 1124879127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY VAUGHN BODEA Doctor Of Occup Therapy 480-329-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |