Individual
DR. CARLIE ENETTE JURGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
15810 S 42ND ST, PHOENIX, AZ 85048-7409
(319) 310-7355
Mailing address
4537 N 33RD PL, PHOENIX, AZ 85018-3915
(319) 310-7355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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