Individual
LAURA VASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 NORTH 19TH AVENUE, PHOENIX, AZ 85021
(888) 873-4221
(888) 543-2289
Mailing address
540 OGDEN ROAD, LANDING, NJ 07850-1263
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09042200
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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