| NPI | 1417076027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WELLS Hr 623-445-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 2848) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-09-24 |