Organization
SURPRISE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAI LING CHAN MS, CCC-SLP (MANAGER)
(623) 521-0571
Entity
Organization
Contact information
Practice address
15315 W PERSHING ST, SURPRISE, AZ 85379-8159
(623) 521-0571
Mailing address
15315 W PERSHING ST, SURPRISE, AZ 85379-8159
(623) 521-0571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SPL5051
AZ
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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