| NPI | 1952542862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN RODGERS Owner 602-881-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 4305) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |