Individual
MELISSA CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 W LATONA LN, PHOENIX, AZ 85041-7703
(602) 628-5680
Mailing address
1601 E HIGHLAND AVE APT 1179, PHOENIX, AZ 85016-4687
(602) 628-5680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2020
Last updated
06/25/2021
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