Organization
J.A. THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN AMELUNG COTA/L (OWNER)
(602) 904-9818
Entity
Organization
Contact information
Practice address
2250 W SIERRA ST, PHOENIX, AZ 85029-3603
(602) 904-9818
Mailing address
2250 W SIERRA ST, PHOENIX, AZ 85029-3603
(602) 904-9818
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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