Individual
AMI MARIE PODLESNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14814 N 24TH DR UNIT 2, PHOENIX, AZ 85023
(602) 752-2665
Mailing address
14814 N 24TH DR UNIT 2, PHOENIX, AZ 85023-5079
(602) 752-2665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5697
AZ
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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