Organization
EASTERN ARIZONA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SORENSEN M.S., CCC-SLP (OWNER)
(928) 606-7938
Entity
Organization
Contact information
Practice address
4247 E BAYLOR LN, GILBERT, AZ 85296-9688
(928) 606-7938
Mailing address
4247 E BAYLOR LN, GILBERT, AZ 85296-9688
(928) 606-7938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6025
AZ
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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