Organization
HORIZON PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JEAN RALSTON (BENEFITS COORDINATOR)
(480) 892-9777
Entity
Organization
Contact information
Practice address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Mailing address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225A00000X
Music Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1735
HEALTHNET
AZ
05
—
942484
—
AZ
01
—
AZ-0462860
BLUE CROSS BLUE SHIELD AZ
AZ
01
—
AZ-2271-0404
PREFERRED THERAPY PROVIDE
AZ
Enumeration date
11/29/2006
Last updated
09/11/2025
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