| NPI | 1316508518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW STARCK CEO 602-456-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251E00000X Home Health | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-12-13 |