Individual
RACHEL IANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
11405 NORTH GREER RANCH PARKWAY, SURPRISE, AZ 85379
(623) 523-8550
Mailing address
14620 WEST RED BIRD ROAD, SURPRISE, AZ 85387
(623) 570-9632
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1561
AZ
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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