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Organization

MADISON SCHOOL DISTRICT 38

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARYJO ALBERTA TODD O.T.R.L (OCCUPATIONAL THERAPIST)
(602) 664-7236
Entity
Organization

Contact information

Practice address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7931
(602) 664-7998
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7931
(602) 664-7998

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1979
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
557697700
AZ
Enumeration date
01/31/2007
Last updated
08/13/2008
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