| NPI | 1457655300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLETTA DUVALL Occupational Therapist/Owner 480-720-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 4348) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AZ 4348) |
| 251E00000X Home Health (Licence: AZ 4348) | |
| 252Y00000X Early Intervention Provider Agency (Licence: AZ 4348) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AZ 4348) | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2020-12-16 |