Individual
MI VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(800) 376-3440
Mailing address
8862 W CAMERON DR, PEORIA, AZ 85345-5512
(602) 330-4793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
07/29/2025
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