Individual
CELINE DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13385 W MCDOWELL RD, GOODYEAR, AZ 85395-2631
(623) 986-5110
Mailing address
2228 E CAMPBELL AVE APT 228, PHOENIX, AZ 85016-5550
(480) 689-0272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007874
AZ
Other
Enumeration date
07/18/2019
Last updated
12/10/2020
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