NPI | 1215487376 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN MCSHEA President Owner 928-854-5439 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4317) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2016-10-12 |
Last Update Date | 2024-10-18 |