Individual
MR. LOUIS A. WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
660 S CORONADO DR, SIERRA VISTA, AZ 85635-3386
(520) 459-4900
Mailing address
3670 E ASTRO ST, HEREFORD, AZ 85615-9644
(520) 495-0788
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2314
AZ
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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