Individual
MR. STEWART MAXWELL CRANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
8115 E INDIAN BEND RD, SUITE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
1750 E GRANDVIEW RD, PHOENIX, AZ 85022-6223
(602) 622-4835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1503
AZ
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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