Individual
ADA PASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
11218 E REGINALD AVE, MESA, AZ 85212-4301
(480) 361-1406
Mailing address
11218 E REGINALD AVE, MESA, AZ 85212-4301
(480) 361-1406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3521
AZ
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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