Organization
LAURALEES SPEECH THERAPY
Active
Other names
Lauralee's Speech Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURALEE J LARKIN (OWNER/AUTHORIZED SIGNATORY)
(480) 245-8577
Entity
Organization
Contact information
Practice address
1110 E PRESS RD, SAN TAN VALLEY, AZ 85140-5425
(480) 245-8577
Mailing address
1110 E PRESS RD, SAN TAN VALLEY, AZ 85140-5425
(480) 245-8577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942323951
AHCCCS
AZ
Enumeration date
09/13/2022
Last updated
08/27/2024
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