| NPI | 1366517765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI PRUNISKI Director 623-487-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 516) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-08-11 |