Organization
THERA-QUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RAY (OCCUPATIONAL THERAPIST)
(602) 430-2817
Entity
Organization
Contact information
Practice address
831 W INDIANOLA AVE, PHOENIX, AZ 85013-3338
(602) 430-2817
(602) 277-4799
Mailing address
PO BOX 36296, PHOENIX, AZ 85067-6296
(602) 430-2817
(602) 277-4799
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
544
AZ
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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