Individual
SERENA SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4641 N 12TH ST STE 100, PHOENIX, AZ 85014-4085
(602) 281-2896
Mailing address
12226 S PAIUTE ST, PHOENIX, AZ 85044-2122
(480) 586-6590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046929
AZ
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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