Individual
MS. MELISSA ANN BOOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W ELLIOT RD STE 109, TEMPE, AZ 85284-1310
(480) 374-4341
Mailing address
5838 E COCHISE RD, PARADISE VALLEY, AZ 85253-1106
(480) 206-7805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5390
AZ
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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