Individual
EMILY LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 719-8080
Mailing address
4249 E PAGE AVE, GILBERT, AZ 85234-0737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007961
AZ
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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