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Individual

MEKENZIE JOIRDAN SHRESTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
2150 S COUNTRY CLUB DR, MESA, AZ 85210-6809
(480) 404-9700
Mailing address
2150 S COUNTRY CLUB DR STE 20, MESA, AZ 85210-6879

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2110
NE
225X00000X
Occupational Therapist
Primary
OTH-007501
AZ

Other

Enumeration date
06/27/2017
Last updated
07/11/2022
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