| NPI | 1588048367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE FOX Owner 480-907-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 3442) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |