| NPI | 1770120305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES CHRISTENSON Owner 928-683-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2026-05-26 |