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Individual

DANIELLE ERICA AGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
21630 N 19TH AVE, PHOENIX, AZ 85027-2719
(602) 726-2300
Mailing address
20701 N SCOTTSDALE RD # 107-487, SCOTTSDALE, AZ 85255-6413
(623) 606-0568

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003684
AZ

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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