| NPI | 1578831988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHAEDRA ANTIOCO Owner/Occupational Therapist 480-442-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ 2668) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |