Individual
JACQUELYN PUCHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13481 W MCDOWELL RD STE 300, GOODYEAR, AZ 85395-2724
(623) 536-2325
Mailing address
8904 W MISSOURI AVE, GLENDALE, AZ 85305-2264
(856) 745-9404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008785
AZ
Other
Enumeration date
01/23/2024
Last updated
01/27/2024
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