| NPI | 1669818035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MANCUSO Chief Operating Officer 480-295-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-11-30 |