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MRS. MELADY DIANNE ANDERSON COTA/L
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1801198825
Individual Registrant:MRS. MELADY DIANNE ANDERSON COTA/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
11934 W THOMAS ARRON DR MARANA, AZ 85653-8032 US
Tel: 520-241-2490 Fax: 520-616-0020
Tel: 520-241-2490 Fax: 520-616-0020
Contact information for business:
11934 W THOMAS ARRON DR MARANA, AZ 85653-8032 US
Tel: 520-241-2490 Fax: 520-616-0020
Tel: 520-241-2490 Fax: 520-616-0020
Registration Information:
NPI: 1801198825
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | AZ | 4683 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
