Organization
SOUTHWOOD PEDIATRIC THERAPY
Active
Organization
SOUTHWOOD PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH AMA SOUTHWOOD-EVANS (CEO)
(520) 431-7918
Entity
Organization
Contact information
Practice address
44480 W HONEYCUTT AVE, MARICOPA, AZ 85138-2903
(520) 582-0142
Mailing address
42829 W WILD HORSE TRL, MARICOPA, AZ 85138-8271
(520) 431-7918
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
171R00000X
AZ
225X00000X
Occupational Therapist
Primary
225X00000X
NE
235Z00000X
Speech-Language Pathologist
235Z00000X
AZ
261QP2000X
Physical Therapy Clinic/Center
261QP2000X
NE
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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