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Organization
UPWARD FOUNDATION
Active
Organization
UPWARD FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SMITH (DIRECTOR OF OPERATIONS)
(602) 279-5801
Entity
Organization
Contact information
Practice address
7800 N 59TH AVE, GLENDALE, AZ 85301-7861
(602) 279-5801
(602) 279-0033
Mailing address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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