| NPI | 1831387414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE FOWLER President 520-400-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 1867) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-02-25 |