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Individual

BARBARAANN F DAUSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
22983 N 104TH AVE, PEORIA, AZ 85383-2764
(602) 402-2636
(602) 603-5775
Mailing address
22983 N 104TH AVE, PEORIA, AZ 85383-2764
(602) 402-2636
(602) 603-5775

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OTH-003890
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
446793
AZ
Enumeration date
07/29/2009
Last updated
10/24/2019
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