Individual
DEBORAH GERISILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15414 N 7TH ST, SUITE 3, PHOENIX, AZ 85022-3519
(602) 476-7519
(602) 445-4971
Mailing address
28150 N ALMA SCHOOL PKWY, SCOTTSDALE, AZ 85262-8048
(480) 262-0496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5557
AZ
Other
Enumeration date
05/05/2014
Last updated
05/06/2014
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