Individual
WILLIAM BLEECKER, COTA/L
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E SOUTHERN AVE STE 310, TEMPE, AZ 85282-5695
(877) 279-0891
Mailing address
1078 E APACHE ST, GLOBE, AZ 85501-1129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5309
AZ
224Z00000X
Occupational Therapy Assistant
OTA4171
CA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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