Individual
LISA SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5358 E BASELINE RD, MESA, AZ 85206-4716
(480) 630-3005
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6286
AZ
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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