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Organization

REACH FOR THE STARS PEDIATRIC THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TARA RIVERA-ARMSTRONG MOTR/L (OWNER)
(602) 828-1966
Entity
Organization

Contact information

Practice address
8662 W LARIAT LN, PEORIA, AZ 85383
(847) 962-9154
(623) 594-4229
Mailing address
8662 W LARIAT LN, PEORIA, AZ 85383
(847) 962-9154
(623) 594-4229

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2251P0200X
Pediatric Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/05/2018
Last updated
06/05/2018
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