Individual
MARY JO OECHSLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8832 N 65TH DR, GLENDALE, AZ 85302-4386
(602) 405-5759
(623) 975-0874
Mailing address
8832 N 65TH DR, GLENDALE, AZ 85302-4386
(602) 405-5759
(623) 975-0874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1109
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450982
—
AZ
Enumeration date
01/17/2007
Last updated
07/08/2007
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