Individual
JACQUELINE FAITH CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 E UNIVERSITY DR, TEMPE, AZ 85281-1091
(480) 317-6139
(480) 546-4423
Mailing address
1203 S ASH AVE, TEMPE, AZ 85281-8637
(602) 435-2968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-002823
AZ
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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