Individual
MARIA ROOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10631 S 51ST ST, PHOENIX, AZ 85044-5225
(480) 398-4280
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7138
AZ
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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