| NPI | 1912035742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY EDWARDS Member 520-241-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-10-25 |