Individual
AMANDA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Mailing address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5400
AZ
225XP0200X
Pediatric Occupational Therapist
5400
AZ
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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