Individual
MS. SUZANNE ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
63 E MAIN ST, MESA, AZ 85201-7417
(480) 472-0856
Mailing address
238 S AARON, MESA, AZ 85208-2641
(310) 525-6673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047102
AZ
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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