Individual
MR. SEAN BRUCE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(602) 726-2300
Mailing address
40143 N WESTRAY WAY, SAN TAN VALLEY, AZ 85140-8416
(480) 544-4080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007705
AZ
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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