Individual
SARA CARICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13413 N 35TH AVE, PHOENIX, AZ 85029-1200
(253) 691-3114
Mailing address
13413 N 35TH AVE, PHOENIX, AZ 85029-1200
(253) 691-3114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7152
AZ
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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