Individual
MRS. ESTEFANIA VASQUEZ SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2150 S COUNTRY CLUB DR, SUITE 20, MESA, AZ 85210-6809
(480) 404-9700
Mailing address
3498 E TYSON ST, GILBERT, AZ 85295-3474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5778
AZ
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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