Individual
MATTHEW LEONARD SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
17490 N 93RD ST, SCOTTSDALE, AZ 85255-6323
(480) 630-3749
Mailing address
2134 E DALEY LN, PHOENIX, AZ 85024-7508
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
1683
AZ
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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