| NPI | 1508071861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LUICCI-DAVIS Accounting Specialist 520-723-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |