Organization
EMPOWER KIDS AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJI T SALCIDO (OWNER)
(623) 850-2224
Entity
Organization
Contact information
Practice address
17221 N LITCHFIELD RD STE 59, SURPRISE, AZ 85374-3987
(623) 850-2224
Mailing address
17221 N LITCHFIELD RD STE 59, SURPRISE, AZ 85374-3987
(623) 850-2224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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