NPI | 1184312472 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA BETH WOOD Owner 480-580-8207 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2023-04-25 |
Last Update Date | 2025-10-15 |