Individual
MARIANA WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1933 W PEPPER TREE DR, SAFFORD, AZ 85546-4048
(928) 428-4910
Mailing address
1933 W PEPPER TREE DR, SAFFORD, AZ 85546-4048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4872
AZ
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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