Individual
MELISSA BERUTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5236 W PEORIA AVE APT 238, GLENDALE, AZ 85302-1624
(602) 575-4385
Mailing address
8724 W WINDSOR DR, PEORIA, AZ 85381-5114
(602) 575-4385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6110
AZ
Other
Enumeration date
10/08/2015
Last updated
04/14/2017
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