Individual
YOVANY ALEXANDER UMANZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
9155 N 3RD ST, PHOENIX, AZ 85020-2410
(602) 218-9483
Mailing address
750 W BASELINE RD APT 2063, TEMPE, AZ 85283-5930
(281) 253-3823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
510495
AZ
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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