Individual
MRS. PATRICIA SELINA HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10631 S 51ST ST, PHOENIX, AZ 85044-5225
(480) 398-4280
Mailing address
660 W VINE AVE, MESA, AZ 85210-2330
(480) 226-5576
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7455
AZ
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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