| NPI | 1386131837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA WICUS Owner 480-910-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-12-28 |