Individual
MRS. REBECCA MARIE LUNDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 S HIGLEY RD, BUILDING 5, SUITE 111, GILBERT, AZ 85296-4799
(480) 474-4173
(480) 237-9727
Mailing address
10830 E AZALEA AVE, MESA, AZ 85208-8626
(480) 570-6390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AZ
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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