Individual
AMY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 202-4008
(888) 375-1033
Mailing address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 202-4008
(888) 375-1033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12049A
AZ
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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