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Individual

SUSAN MARANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4141 N S HERRERA WAY, PHOENIX, AZ 85012-1814
(602) 248-1550
Mailing address
6708 W MCKINLEY ST, PHOENIX, AZ 85043-2330
(480) 729-4129

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4410
AZ

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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