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NPI Code Detail

MEDICARE: DESERT VALLEY PEDIATRIC THERAPY

MEDICARE: DESERT VALLEY PEDIATRIC THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1528209830
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT VALLEY PEDIATRIC THERAPY
Provider Business Mailing Address
First Line : 4350 E RAY RD STE 101A
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4707
Country : US
Telephone Number : 480-704-5954
Fax Number : 480-704-5807
Provider Business Practice Location Address
First Line : 4350 E RAY RD STE 101A
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4707
Country : US
Telephone Number : 480-704-5954
Fax Number : 480-704-5807
Authorized Official
Title or Position : DIRECTOR
Name : JULIE A SORRICK
Credential : M.A. CCC-SLP
Telephone Number : 480-704-5954
Provider Enumeration Date : 03/16/2009
Last Update Date : 03/04/2022

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Directions to “DESERT VALLEY PEDIATRIC THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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