Individual
MR. MICHAEL PRESTON WELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
9822 E EMPRESS AVE, MESA, AZ 85208-5852
(480) 558-5131
Mailing address
9822 E EMPRESS AVE, MESA, AZ 85208-5852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4873
AZ
Other
Enumeration date
08/18/2011
Last updated
08/31/2011
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