| NPI | 1205615887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD WOLVER Managing Director 480-862-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |