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Organization

THE GARDEN OF FEEDIN', INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN HART MACCCSLP (PRESIDENT)
(602) 412-3736
Entity
Organization

Contact information

Practice address
1031 W INDIAN HILLS PL, PHOENIX, AZ 85023-6278
(602) 412-3736
Mailing address
PO BOX 82098, PHOENIX, AZ 85071-2098
(602) 412-3736

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist
SLP0188
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463315
AZ
Enumeration date
06/25/2007
Last updated
09/11/2025
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