| NPI | 1306549795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE NICESCHWANDER Owner 623-282-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-08-03 |