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Individual

MS. JODY J JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
22150 W SUNDANCE PKWY, BUCKEYE, AZ 85326-5560
(623) 327-2850
Mailing address
5613 S 206TH DR, BUCKEYE, AZ 85326-9502
(602) 291-3901

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2683
AZ

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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