Individual
TINA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 W RAY RD STE 1-2, CHANDLER, AZ 85225-7284
(480) 296-2363
Mailing address
3010 E WILDWOOD DR, PHOENIX, AZ 85048-7710
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-006273
AZ
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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