Organization
THERAPY FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TY MILLER (CHIEF OF STAFF)
(480) 295-4924
Entity
Organization
Contact information
Practice address
4542 E INVERNESS AVE, SUITE 210, MESA, AZ 85206-4619
(480) 926-6309
(480) 926-1365
Mailing address
4542 E INVERNESS AVE, SUITE 210, MESA, AZ 85206-4619
(480) 295-4924
(480) 926-1365
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/18/2010
Last updated
10/16/2025
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