| NPI | 1730724618 |
|---|---|
| Former Legal Business Name | KIDS THERAPY |
| Entity Type | Organization |
| Authorized Contact | FATIMA JACKSON Slpa 480-717-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-03-25 |