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Organization
TOTAL PEDIATRIC THERAPY INC
Active
Organization
TOTAL PEDIATRIC THERAPY INC
Active
Other names
Total Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN PRENOVOST PT, DPT (PRESIDENT)
(602) 501-4231
Entity
Organization
Contact information
Practice address
33755 N SCOTTSDALE RD STE 110, SCOTTSDALE, AZ 85266-1567
(480) 588-3656
Mailing address
33755 N SCOTTSDALE RD STE 110, SCOTTSDALE, AZ 85266-1567
(480) 588-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/21/2020
Last updated
09/08/2023
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