Organization
EASTER SEALS BLAKE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS RENEE ARENAS MAS-IFP, BHT (EARLY CHILDHOOD THERAPIST)
(480) 416-9851
Entity
Organization
Contact information
Practice address
288 N IRONWOOD DR STE 115, APACHE JUNCTION, AZ 85120-3830
(480) 416-9851
Mailing address
288 N IRONWOOD DR STE 115, APACHE JUNCTION, AZ 85120-3830
(480) 416-9851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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