Organization
CASA GRANDE ELEMENTARY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RUSSEL MURRAY (OCCUPATIONAL THERAPIST)
(520) 876-3244
Entity
Organization
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 876-3244
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
6666
AZ
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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