| 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 |