Individual
LISA ANNE CAMPAGNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2451 E BASELINE RD STE 420, GILBERT, AZ 85234-2472
(480) 474-4173
Mailing address
9320 E DALLAS ST, MESA, AZ 85207-6163
(623) 696-9464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-006775
AZ
Other
Enumeration date
06/07/2018
Last updated
01/20/2021
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