Individual
GERI LYNN DEWAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 E COLGATE DR, TEMPE, AZ 85283-2205
(480) 897-2541
Mailing address
1845 E COLGATE DR, TEMPE, AZ 85283-2205
(480) 897-2541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1193
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512021
AHCCS
AZ
Enumeration date
05/07/2007
Last updated
07/08/2007
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