| NPI | 1215135355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LEE SOULES Presidant 480-664-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 0569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4880) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |