Individual
TREVOR OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6840 E BROWN RD, MESA, AZ 85207-3759
(480) 719-8080
Mailing address
330 N HAWES RD, MESA, AZ 85207-7601
(480) 276-4705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6816
AZ
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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