| NPI | 1922156520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M MANCHA Office Manager 928-776-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235500000X Specialist/Technologist | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-04-15 |