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NPI Code Detail

MEDICARE: SOLACE PEDIATRIC HEALTHCARE THERAPY SERVICES AZ, INC.

MEDICARE: SOLACE PEDIATRIC HEALTHCARE THERAPY SERVICES AZ, INC.
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1669533105
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLACE PEDIATRIC HEALTHCARE THERAPY SERVICES AZ, INC.
Provider Business Mailing Address
First Line : 60 E RIO SALADO PKWY STE 900
Second Line :
City : TEMPE
State : AZ
Zip : 85281-9126
Country : US
Telephone Number : 480-456-0719
Fax Number : 480-456-0163
Provider Business Practice Location Address
First Line : 60 E RIO SALADO PKWY STE 900
Second Line :
City : TEMPE
State : AZ
Zip : 85281-9126
Country : US
Telephone Number : 480-456-0719
Fax Number : 480-456-0163
Authorized Official
Title or Position : REGIONAL DIRECTOR OF COMPLIANCE
Name : LINDSAY MILLER
Credential :
Telephone Number : 303-432-8487
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/02/2025

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Directions to “SOLACE PEDIATRIC HEALTHCARE THERAPY SERVICES AZ, INC. ” Practice Location

Language Start Address Practice Location
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