Organization
THERAPY TIME
Active
Other names
The Clubhouse Innovative Therapy Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY VULCANO (PRESIDENT)
(602) 368-8601
Entity
Organization
Contact information
Practice address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 368-8601
(602) 368-8605
Mailing address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 368-8601
(602) 368-8605
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
AZ
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
222Q00000X
Developmental Therapist
—
AZ
225100000X
Physical Therapist
—
AZ
225200000X
Physical Therapy Assistant
—
AZ
225A00000X
Music Therapist
—
AZ
225X00000X
Occupational Therapist
—
AZ
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
AZ
225XG0600X
Gerontology Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
AZ
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
05/18/2006
Last updated
10/25/2010
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