Agape Harbor Speech Therapy And Rehabilitation, Pllc

NPI 1154672582 - Home Health - 251E00000X

NPI Details
NPI 1154672582
Enumeration Date 09/25/2012
Last Updated 09/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MISTY ANN MISTY
Position SPEECH-LANGUAGE PATHOLOGIST
Phone (602) 999-6358
Fax (623) 234-2802
Practice Location
16195 W COTTONWOOD ST
SURPRISE AZ, 85374-5740, US
Phone (602) 999-6358
Fax (623) 234-2802
Business Location
16195 W COTTONWOOD ST
SURPRISE AZ, 85374-5740, US
Phone (602) 999-6358
Fax (623) 234-2802
Toxanomy
Taxonomy Code 251E00000X
License State Arizona
License Number SLP-4062
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According to our database, Agape Harbor Speech Therapy And Rehabilitation, Pllc NPI is 1154672582, taxonomy code is 251E00000X and license number is SLP-4062, license state is located at Arizona. Agape Harbor Speech Therapy And Rehabilitation, Pllc physically located at 16195 W Cottonwood St, Surprise AZ, 85374-5740. NPI Number 1033115704 has the healthcare provider type.

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1154672582 NPI number is provided on an as is basis without warranty of any kind. 1154672582 is maintained by the National Plan & Provider Enumeration System. The contents of Agape Harbor Speech Therapy And Rehabilitation, Pllc are for informational purposes only.