Individual
ISAURA VAZQUEZ ARREOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11909 W PORT ROYALE LN, EL MIRAGE, AZ 85335-6950
(623) 329-1245
Mailing address
11909 W PORT ROYALE LN, EL MIRAGE, AZ 85335-6950
(623) 329-1245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6751
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6751
—
AZ
Enumeration date
03/29/2018
Last updated
03/29/2018
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