| NPI | 1710181748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE HALLUMS CEO 480-206-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 5580) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5625) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0332) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-11-12 |