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Individual

LYDIA LEA CHRISTESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
6916 W ROBIN LN, GLENDALE, AZ 85310-5908
(198) 998-0849
(928) 777-9975
Mailing address
6916 W ROBIN LN, GLENDALE, AZ 85310-5908
(198) 998-0849

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201001462
MI
225XH1200X
Hand Occupational Therapist
Primary
6118
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172068
AZ
Enumeration date
07/20/2005
Last updated
08/21/2023
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