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Individual

MRS. LAURIE A NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
W3038 N OLD PLACE RD, MORAN, MI 49760-8709
(906) 298-2982

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4496
AZ

Other

Enumeration date
02/23/2011
Last updated
02/23/2011
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