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Individual

BRENDA LOMELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
16227 N 11TH ST, PHOENIX, AZ 85022-2604
(602) 486-8806
Mailing address
16227 N 11TH ST, PHOENIX, AZ 85022-2604
(602) 486-8806

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4189
AZ
225XP0200X
Pediatric Occupational Therapist
4189
AZ

Other

Enumeration date
08/11/2008
Last updated
08/11/2008
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