Individual
MS. ALEXA IWANIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3357 N COUNTRY CLUB RD, APT 9, TUCSON, AZ 85716-1367
(520) 313-8289
Mailing address
3357 N COUNTRY CLUB RD APT 9, TUCSON, AZ 85716-1357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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