Individual
JACOB MATTHEW ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
14942 W COLUMBINE DR, SURPRISE, AZ 85379-5931
(602) 920-8027
Mailing address
14942 W COLUMBINE DR, SURPRISE, AZ 85379-5931
(602) 920-8027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3122
AZ
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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