Individual
LISA NICOLE REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5995 N 78TH ST UNIT 2098, SCOTTSDALE, AZ 85250-6151
(602) 777-1322
Mailing address
5995 N 78TH ST UNIT 2098, SCOTTSDALE, AZ 85250-6151
(602) 777-1322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6583
AZ
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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