| NPI | 1366537607 |
|---|---|
| Doing Business As | PANACEA THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | SHERI B MOORMANN Speech Pathologist/Owner 520-742-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0161) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 1060) |
| 225100000X Physical Therapist (Licence: AZ 6540) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-09 |