| NPI | 1295321149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN THIES Owner 602-689-6538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |