Individual
TANYA NEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E SOUTHERN AVE, 3110, TEMPE, AZ 85282-5691
(602) 567-9881
Mailing address
1620 N 51ST ST, PHOENIX, AZ 85008-4257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5882
AZ
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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