| NPI | 1639992084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN DANCER Member 623-208-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-21 |