Individual
MS. JAMIE LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
660 S CORONADO DR, SIERRA VISTA, AZ 85635-3386
(520) 459-4900
Mailing address
660 S CORONADO DR, SIERRA VISTA, AZ 85635-3386
(520) 459-4900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4651
AZ
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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