Individual
TIFFANY FAITH FACUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-4000
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-4000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
14442161
AZ
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/29/2018
Last updated
07/26/2023
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