| NPI | 1326310442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA L HARRIS Occupational Therapist 520-236-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ 0651) |
| Enumeration Date | 2012-02-05 |
| Last Update Date | 2012-02-05 |