| NPI | 1285167296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET OBRIEN Owner 602-614-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |