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>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1407494461

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
14412 S VIA GUALDA  SAHUARITA, AZ 85629-8447 US
Tel: 480-734-5232  Fax: --

Contact information for business:
14412 S VIA GUALDA  SAHUARITA, AZ 85629-8447 US
Tel: 480-734-5232  Fax: --

Registration Information:
NPI: 1407494461
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist

Legacy codes, insurance codes and state license numbers:



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