| NPI | 1306684816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA I BRUNDAGE Owner 623-633-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-04-29 |