Individual
LISA A. SIRKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5314 N. 7TH ST, PHOENIX, AZ 85014
(602) 277-5006
Mailing address
7451 W POTTER DR, GLENDALE, AZ 85308-9673
(623) 640-5675
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5064
AZ
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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