| NPI | 1235853326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FOUGHT Owner 602-758-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-04-27 |