Individual
TYRZA LAVETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2012 W SOUTHERN AVE, APACHE JUNCTION, AZ 85120-7305
(480) 983-0700
Mailing address
114 E 14TH ST APT 6, MESA, AZ 85201-2666
(870) 919-4986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047021
AZ
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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