NPI 1194813279

Neuro Institute, INC

Organisation Rehabilitation Practitioner Tempe, AZ

Practice location

Address: 1221 W Warner Rd Suite 102, Tempe, AZ 85284-1906
Phone: (480) 735-0124
Fax: (480) 735-0126

Authorised official

Name: Carolyn Oveta Fonseca
Title: Chief Administrative Officer
Phone: (480) 735-0124

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence OTC 3407 (AZ)

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Registry record

NPI: 1194813279
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.