Organization
EXCEPTIONAL EXPECTATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMI COTHRUN (OWNER)
(480) 209-4357
Entity
Organization
Contact information
Practice address
4379 N CACTUS RD, APACHE JUNCTION, AZ 85119-8714
(480) 209-4357
Mailing address
4379 N CACTUS RD, APACHE JUNCTION, AZ 85119-8714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
01/10/2014
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