Organization
MIGHTY OAKS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANNE RAKOZY SLP (OWNER/THERAPIST)
(630) 956-1080
Entity
Organization
Contact information
Practice address
20329 N 59TH AVE STE A5, GLENDALE, AZ 85308-6854
(630) 956-1080
Mailing address
26907 N 51ST DR, PHOENIX, AZ 85083-1279
(630) 956-1080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/01/2019
Last updated
05/08/2019
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