| NPI | 1407384993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CLICK Owner 623-341-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-07-21 |