| NPI | 1639484314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MANCUSO Executive Director 480-926-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2011-05-13 |