Individual
THADDEUS FORD MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1265 W FRONTIER ST, APACHE JUNCTION, AZ 85120-9084
(480) 773-5383
Mailing address
1265 W FRONTIER ST, APACHE JUNCTION, AZ 85120-9084
(480) 773-5383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6130
AZ
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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