Individual
CESLII GRANADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(602) 425-6108
Mailing address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
03/17/2018
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