Individual
MS. LIZA GALE LABARBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 842-8100
Mailing address
19523 N 55TH DR, GLENDALE, AZ 85308-6805
(602) 999-8186
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3776
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133193
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
04/13/2007
Last updated
07/08/2007
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