Organization
THERAPY LICENSED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA LEE SOULES OT (PRESIDANT)
(480) 664-1266
Entity
Organization
Contact information
Practice address
8429 E VIA DE JARDIN, SCOTTSDALE, AZ 85258-3207
(480) 664-1266
(480) 664-1616
Mailing address
8429 E VIA DE JARDIN, SCOTTSDALE, AZ 85258-3207
(480) 664-1266
(480) 664-1616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0569
AZ
235Z00000X
Speech-Language Pathologist
SLP4880
AZ
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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