Individual
AUNDRE PADILLA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2601 E THOMAS RD, PHOENIX, AZ 85016-8221
(915) 525-3774
Mailing address
1750 S ALMA SCHOOL RD APT 206, MESA, AZ 85210-3018
(915) 525-3774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050149
AZ
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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