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Individual

MS. DANA KRISTEN PERALTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
815 E WARNER RD, SUITE 106, CHANDLER, AZ 85225-1057
(480) 963-5800
Mailing address
3385 E CLAXTON AVE, GILBERT, AZ 85297-9395
(480) 518-7644

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5295

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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