| NPI | 1932445244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSH Owner 623-266-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |