| NPI | 1285874099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M RIDGE Owner 480-695-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103T00000X Psychologist |
| 222Q00000X Developmental Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2024-04-29 |