| NPI | 1205173150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUREA SHELLY INMAN Occupational Therapy Assistant 480-747-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: AZ 4979) |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-01-12 |