Individual
JESSICA GHETES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
26976 N 90TH LN, PEORIA, AZ 85383-3759
(623) 703-7904
(623) 581-5260
Mailing address
26976 N 90TH LN, PEORIA, AZ 85383-3759
(623) 703-7904
(623) 581-5260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5905
AZ
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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