Individual
MRS. MARRENE WHITE PEACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(480) 239-0224
Mailing address
40205 W MARY LOU DR., MARICOPA, AZ 85239
(480) 239-0224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2751
AZ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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