Organization
DESERT THERAPY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE WYMER-JENSEN (PRESIDENT)
(520) 827-9117
Entity
Organization
Contact information
Practice address
899 N WILMOT RD, SUITE D-1, TUCSON, AZ 85711-1714
(520) 820-9474
Mailing address
4254 E DEER DANCER WAY, TUCSON, AZ 85712-6643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1415SLP
AZ
235Z00000X
Speech-Language Pathologist
SLP1245
AZ
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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