Individual
JAMIE W HYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7920 W GLENDALE AVE LOT 77, GLENDALE, AZ 85303-2326
(480) 465-8174
Mailing address
7920 W GLENDALE AVE LOT 77, GLENDALE, AZ 85303-2326
(480) 465-8174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5810
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5810
ARIZONA COTA LICENSE NUMBER
AZ
Enumeration date
04/17/2020
Last updated
04/17/2020
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