Individual
JANET SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
505 JACKS CANYON RD, SEDONA, AZ 86351-7856
(928) 284-2411
Mailing address
505 JACKS CANYON RD, SEDONA, AZ 86351-7856
(928) 284-2411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1204
AZ
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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