Individual
CATALENA JADE VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2150 S COUNTRY CLUB DR, MESA, AZ 85210-6809
(480) 404-9700
Mailing address
3643 N SAN GABRIEL, MESA, AZ 85215-7762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7030
AZ
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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