Organization
THOMAS O'HARA II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JOHN O'HARA II (MEMBER/MANAGER)
(505) 801-7795
Entity
Organization
Contact information
Practice address
1020 E GROVE ST, PHOENIX, AZ 85040-3184
(505) 801-7795
Mailing address
1020 E GROVE ST, PHOENIX, AZ 85040-3184
(505) 801-7795
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9074
AZ
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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