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Individual

DAVID NEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4720 E COTTON GIN LOOP, STE. 140, PHOENIX, AZ 85040-4823
(602) 567-9881
Mailing address
4720 E COTTON GIN LOOP, STE. 140, PHOENIX, AZ 85040-4823
(602) 567-9881

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0276
AZ

Other

Enumeration date
07/25/2011
Last updated
07/25/2011
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