Individual
LAURA GIESELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W. WESTERN AVE, AVONDALE, AZ 85323
(623) 772-5190
Mailing address
17638 W HALE BOP DR, GOODYEAR, AZ 85338-5470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2721
AZ
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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