Organization
AZ DESERT BLOOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA URCUYO SLPA (MANAGING MEMBER)
(214) 325-9662
Entity
Organization
Contact information
Practice address
21137 N GET AROUND DR, MARICOPA, AZ 85138-3119
(214) 325-9662
Mailing address
21137 N GET AROUND DR, MARICOPA, AZ 85138-3119
(214) 325-9662
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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