Individual
MS. MARY SUSAN DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 943-5472
Mailing address
11843 N 51ST DR, GLENDALE, AZ 85304-1970
(480) 600-2515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4935
AZ
Other
Enumeration date
10/18/2011
Last updated
02/10/2016
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