Individual
LATOYA IMADIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 N GRANITE REEF RD, SCOTTSDALE, AZ 85257-3919
(480) 990-1904
Mailing address
2255 E RIVERDALE ST, MESA, AZ 85213-9751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5111
AZ
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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