Individual
CHANTAL ALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4252 E MINTON ST, PHOENIX, AZ 85042-6342
(920) 850-5720
Mailing address
4252 E MINTON ST, PHOENIX, AZ 85042-6342
(920) 850-5720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
09/07/2024
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