NPI | 1164836110 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER JEAN BAUMGARTNER Owner 480-508-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 225100000X Physical Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2023-02-21 |