Organization
ESTRELLA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JO SEVERSON M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(623) 256-6572
Entity
Organization
Contact information
Practice address
18442 W SWEET ACACIA DR, GOODYEAR, AZ 85338-5296
(623) 256-6572
Mailing address
18442 W SWEET ACACIA DR, GOODYEAR, AZ 85338-5296
(623) 256-6572
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SLP5154
AZ
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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