| NPI | 1528105251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYJO ALBERTA TODD Occupational Therapist 602-664-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 1979) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-08-13 |