Individual
CHANELLE B TRAUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
AZ
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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