| NPI | 1528752060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A DOVER Owner/Director Of Operations 602-283-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |