| NPI | 1215164801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ANTHONY DACHTYL President 520-271-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4084) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |