Individual
ALYSSA CONCHA-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3853 E DAHLIA DR, PHOENIX, AZ 85032-7341
(469) 450-6338
Mailing address
3853 E DAHLIA DR, PHOENIX, AZ 85032-7341
(469) 450-6338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
118331
TX
225X00000X
Occupational Therapist
15111
CA
225X00000X
Occupational Therapist
3710
NM
225X00000X
Occupational Therapist
Primary
7153
AZ
Other
Enumeration date
04/29/2017
Last updated
07/14/2022
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