Organization
HEAD TO TOE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET O'BRIEN SLP (OWNER)
(602) 614-7187
Entity
Organization
Contact information
Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 277-5006
Mailing address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 277-5006
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2084P0800X
AZ
251S00000X
Community/Behavioral Health Agency
103T00000X
AZ
251S00000X
Community/Behavioral Health Agency
Primary
2084P0800X
AZ
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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