Individual
MS. GAYLE LYNN REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4740 W LARKSPUR DR, GLENDALE, AZ 85304-2024
(602) 463-9154
Mailing address
4740 W LARKSPUR DR, GLENDALE, AZ 85304-2024
(602) 463-9154
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2645
AZ
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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