Individual
ISAAC C ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1204 E BASELINE RD STE 106, TEMPE, AZ 85283-1447
(520) 582-0142
Mailing address
5102 N TORTOLITA RD, TUCSON, AZ 85745-9486
(520) 820-7374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046592
AZ
Other
Enumeration date
06/07/2023
Last updated
07/28/2023
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