Individual
AMANDA JARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2650 E SHOW LOW LAKE RD, STE 3, SHOW LOW, AZ 85901-7955
(928) 537-8196
Mailing address
2650 E SHOW LOW LAKE RD, SUITE 3, SHOW LOW, AZ 85901-7955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3027
AZ
Other
Enumeration date
08/02/2006
Last updated
10/24/2007
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