| NPI | 1609118181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO WILLIAM HUPPERT General Manager 602-547-1111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 4306) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-02-03 |