| The Clubhouse Innovative Therapy Centers | |
|
4600 E Shea Blvd Suite 101 Phoenix AZ 85028-6024 | |
| (602) 368-8601 | |
| (602) 368-8605 |
| Full Name | The Clubhouse Innovative Therapy Centers |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 4600 E Shea Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Sally Vulcano (PRESIDENT) |
| Authorized Official Contact | 6023688601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Clubhouse Innovative Therapy Centers 4600 E Shea Blvd Suite 101 Phoenix AZ 85028-6024 Ph: (602) 368-8601 | The Clubhouse Innovative Therapy Centers 4600 E Shea Blvd Suite 101 Phoenix AZ 85028-6024 Ph: (602) 368-8601 |
| NPI Number | 1821041344 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821041344 | NPI | - | NPPES |
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