Provider First Line Business Practice Location Address:
11047 NORTH 79TH PLACE
Provider Second Line Business Practice Location Address:
THERAPY TIME SPEECH LANGUAGE THERAPY
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-619-6061
Provider Business Practice Location Address Fax Number:
480-998-8215
Provider Enumeration Date:
12/26/2007