| NPI | 1215637962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRIONES Manager 623-265-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |