| NPI | 1942660618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA IRWIN CEO 480-902-0771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-04-10 |