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Individual

MRS. THERESA SCHMOTZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S. OT

Contact information

Practice address
2653 N 143RD DR, GOODYEAR, AZ 85395-1459
(808) 497-1292
(623) 594-0469
Mailing address
2653 N 143RD DR, GOODYEAR, AZ 85395-1459
(808) 497-1292
(623) 594-0469

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4289
AZ

Other

Enumeration date
09/22/2009
Last updated
01/11/2013
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