Individual
AMANDA PLASCENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14515 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-6021
(623) 975-8000
Mailing address
18090 W IDA LN, SURPRISE, AZ 85387-1524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046636
AZ
Other
Enumeration date
03/17/2020
Last updated
03/31/2020
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