| NPI | 1891981684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY PIMENTEL Speech Language Pathologist 602-373-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ SLP0725) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: AZ 580498) | |
| 235Z00000X Speech-Language Pathologist (Licence: AZ SLP0725) | |
| 252Y00000X Early Intervention Provider Agency (Licence: AZ 580498) | |
| 261QH0700X Clinic/Center Hearing and Speech (Licence: AZ SLP0725) | |
| 261QP2000X Clinic/Center Physical Therapy (Licence: AZ 580498) | |
| 261QR0400X Clinic/Center Rehabilitation (Licence: AZ 580498) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-02-07 |