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Individual

JENNETTE L CAPOZELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT/L

Contact information

Practice address
33016 N 60TH ST, SCOTTSDALE, AZ 85266-5245
(480) 575-2011
Mailing address
33016 N 60TH ST, SCOTTSDALE, AZ 85266-5245
(480) 575-2011

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5698
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
576960
CAVE CREEK SCHOOL DISTRICT ACCESS PROVIDER NUMBER 576960
AZ
Enumeration date
02/10/2014
Last updated
02/10/2014
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