Individual
MICHELLE LORRAINE SLADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W WARNER RD, SUITE 102, TEMPE, AZ 85284-1906
(480) 735-0124
(480) 735-0126
Mailing address
646 N ELM ST, CHANDLER, AZ 85226-2738
(480) 577-8332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0764
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922783
—
AZ
Enumeration date
10/10/2011
Last updated
10/10/2011
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