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Individual

TAMMY WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
13815 N 30TH LN, PHOENIX, AZ 85053-5705
(602) 464-4427
Mailing address
13815 N 30TH LN, PHOENIX, AZ 85053-5705
(602) 464-4427

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4731
AZ

Other

Enumeration date
02/02/2011
Last updated
02/02/2011
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