Individual
FRIDA INAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15414 N 7TH ST, PHOENIX, AZ 85022-3519
(602) 476-7519
Mailing address
509 E PARADISE LN, PHOENIX, AZ 85022-2522
(917) 645-8284
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4892
AZ
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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