| Organization Name: | PINAL GILA COMMUNITY CHILD SERVICES |
| NPI Number: | 1508071861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN LUICCI-DAVIS (ACCOUNTING SPECIALIST) |
| Mailing Address: | 900 N Plaza Dr Apache Junction |
| State: | AZ US |
| Postal Code: | 852204110 |
| Phone Number: | 4809824516 |
| Fax Number: | 4802889501 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |