Provider Demographics
NPI:1558950345
Name:UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Entity Type:Organization
Organization Name:UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Other - Org Name:ARIZONA AUTISM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-319-7324
Mailing Address - Street 1:21045 N 9TH PL STE 204
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-5635
Mailing Address - Country:US
Mailing Address - Phone:602-726-2300
Mailing Address - Fax:602-726-2322
Practice Address - Street 1:9830 W 59TH PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-5013
Practice Address - Country:US
Practice Address - Phone:303-773-1034
Practice Address - Fax:303-773-1977
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIQUE PRINTS PEDIATRIC SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-15
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes385H00000XRespite Care FacilityRespite Care