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Individual

DESTINY R SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1951 W CAMELBACK RD STE 450, PHOENIX, AZ 85015-3474
(602) 601-2401
Mailing address
3045 W ROSE LANE, PHOENIX, AZ 85017

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047163
AZ

Other

Enumeration date
04/16/2024
Last updated
04/16/2024
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