Individual
CAROL GRAZIANO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
42802
AZ
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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