Individual
MARVIE PUNZALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16528 W SHERMAN ST, GOODYEAR, AZ 85338-4510
(949) 537-1962
Mailing address
16528 W SHERMAN ST, GOODYEAR, AZ 85338-4510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-000067
AZ
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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