# HUPPERT PEDIATRIC THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104818558
- **Authorized official:** MR. LEO WILLIAM HUPPERT III (BUSINESS MGR/CO OWNER)
- **Authorized official phone:** (480) 821-7779

## Contact information

- **Practice address:** 4960 S. GILBERT ROAD, STE. 1-609, CHANDLER, AZ 85249-6021
- **Practice address phone:** (480) 821-7779
- **Practice address fax:** (480) 821-6820
- **Mailing address:** 4960 S. GILBERT ROAD, STE. 1-609, CHANDLER, AZ 85249-6021
- **Mailing address phone:** (480) 821-7779
- **Mailing address fax:** (480) 821-6820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 08/04/2020