Individual
FLAGET SIMMS DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1322 E MESCAL ST, PHOENIX, AZ 85020-1116
(602) 471-7552
Mailing address
1322 E MESCAL ST, PHOENIX, AZ 85020-1116
(602) 471-7552
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5017
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5017
STATE LICENSE
AZ
Enumeration date
04/18/2012
Last updated
03/17/2016
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