| NPI | 1134770654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS CULLING Owner 602-625-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |