Individual
JEAN VIRNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1830 S ALMA SCHOOL RD, STE 130, MESA, AZ 85210-3056
(480) 902-0771
(480) 967-0804
Mailing address
2936 E INDIAN SCHOOL RD, APT C319, PHOENIX, AZ 85016-6369
(423) 544-6699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT436
TN
225XP0200X
Pediatric Occupational Therapist
Primary
5568
AZ
225XP0200X
Pediatric Occupational Therapist
OT436
TN
Other
Enumeration date
02/22/2007
Last updated
02/12/2014
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