Individual
YEMISRACH ADEFRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3360 E LAFAYETTE AVE, GILBERT, AZ 85298-9072
(913) 907-8154
Mailing address
3360 E LAFAYETTE AVE, GILBERT, AZ 85298-9072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5858
AZ
Other
Enumeration date
10/12/2015
Last updated
10/21/2024
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