Individual
RODELEINE M. SALVATUS BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1555 S GILBERT RD, MESA, AZ 85204-6000
(623) 850-8420
(844) 273-5997
Mailing address
4411 E CHANDLER BLVD APT 1015, PHOENIX, AZ 85048-7658
(520) 229-7767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
387105
AZ
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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