Individual
DEBORAH MICHELLE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3341 E QUEEN CREEK RD, SUITE 109, GILBERT, AZ 85297-8501
(480) 621-8361
Mailing address
4148 E SHEFFIELD AVE, GILBERT, AZ 85296-2383
(480) 988-7470
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3967
AZ
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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