Individual
JENNIFER STEPHANIE MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10631 S 51ST ST STE 1, PHOENIX, AZ 85044-5225
(480) 398-4280
(480) 398-4281
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(480) 398-4281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047020
AZ
225700000X
Massage Therapist
MA00024812
WA
Other
Enumeration date
06/23/2008
Last updated
01/05/2022
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