Individual
LEVI JAMES LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6840 E BROWN RD, MESA, AZ 85207-3759
(480) 719-8080
Mailing address
609 OVERVIEW DR, LAS VEGAS, NV 89145-4831
(702) 525-7677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009872
AZ
Other
Enumeration date
01/07/2025
Last updated
01/08/2025
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