Individual
JAQUELINE MARTINEZ OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1951 W CAMELBACK RD STE 450, PHOENIX, AZ 85015-3474
(480) 530-0890
Mailing address
6580 E MCDOWELL RD UNIT 1401, SCOTTSDALE, AZ 85257-0024
(480) 645-4597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050111
AZ
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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