Individual
JENNIFER L FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10740 S COOLWATER DR, GOODYEAR, AZ 85338-9522
(602) 741-0841
Mailing address
10740 S COOLWATER DR, GOODYEAR, AZ 85338-9522
(602) 741-0841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0574
AZ
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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