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Individual

SUSAN JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3535 S BASHA RD, CHANDLER, AZ 85248-4901
(480) 883-4400
Mailing address
1525 W FRYE RD, CHANDLER, AZ 85224-6178

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5908
AZ

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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