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Contact Information

AMY GRULKE, PLLC
2248 N ALMA SCHOOL RD STE 102
CHANDLER, AZ85224-2488
 Phone: 480-935-0614
 Fax: 480-393-1968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for AMY GRULKE, PLLC

NPI # 1316464795
LBN Legal business name AMY GRULKE, PLLC
Authorized official AMY GRULKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2017
Last updated 02/25/2021 - About 5 years ago
Identifiers
AZ License # 5749
AZ Medicaid 412169
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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