Individual
MAKAYLA ALICE WIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 W UTOPIA RD, GLENDALE, AZ 85308
(623) 537-6000
Mailing address
2043 W ANDALUSIAN TRL, PHOENIX, AZ 85085-8646
(480) 531-4641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009917
AZ
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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