Individual
MS. MARA JANE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7550 N 16TH ST, PHOENIX, AZ 85020-4618
(602) 371-4165
(602) 371-4121
Mailing address
7550 N 16TH ST, PHOENIX, AZ 85020-4618
(602) 595-2763
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0127
AZ
224Z00000X
Occupational Therapy Assistant
Primary
0297
AZ
Other
Enumeration date
10/15/2020
Last updated
09/17/2021
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