| NPI | 1346044708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DIXON-TATUM Owner 623-401-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 374U00000X Home Health Aide | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-05-16 |