Organization
NORTH VALLEY PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH TRAUTMAN (CEO)
(602) 808-9912
Entity
Organization
Contact information
Practice address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
(602) 875-0385
Mailing address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2016
Last updated
11/05/2025
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