Individual
JAMIE GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
Mailing address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
(623) 937-5425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7078
AZ
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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