Individual
MISS SHEYDA S MOOSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3699
(623) 445-5000
Mailing address
8958 E CAROL WAY, SCOTTSDALE, AZ 85260-5002
(602) 697-3841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008740
AZ
Other
Enumeration date
02/10/2022
Last updated
07/26/2022
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