Individual
NICOLETTA DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
5960 E TINTO ST, MESA, AZ 85215-0843
(480) 720-0494
Mailing address
5960 E TINTO ST, MESA, AZ 85215-0843
(480) 720-0494
(480) 378-8150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4348
AZ
225XP0200X
Pediatric Occupational Therapist
4348
AZ
Other
Enumeration date
04/21/2009
Last updated
12/14/2020
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