Organization
LITCHFIELD SCHOOL DISTRICT #79
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARIE ROYSTER OT/L (OCCUPATIONAL THERAPIST)
(623) 238-3089
Entity
Organization
Contact information
Practice address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 535-6000
Mailing address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 535-6000
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
2590
AZ
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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