| NPI | 1750520078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOWERS Speech Language Pathologist 928-899-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5433) |
| Additional Taxonomies | 251E00000X Home Health |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5198) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2012-04-26 |