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MRS. MELADY DIANNE ANDERSON COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1801198825

Individual Registrant:
MRS. MELADY DIANNE ANDERSON COTA/L
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

Contact information for business:
11934 W THOMAS ARRON DR  MARANA, AZ 85653-8032 US
Tel: 520-241-2490  Fax: 520-616-0020

Registration Information:
NPI: 1801198825
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AZ4683

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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