Organization
BEACON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SCHANTZ COTA (DIRECTOR)
(904) 738-9757
Entity
Organization
Contact information
Practice address
2022 E MULBERRY DR, PHOENIX, AZ 85016-7218
(904) 738-9757
Mailing address
2022 E MULBERRY DR, PHOENIX, AZ 85016-7218
(904) 738-9757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
07/25/2023
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