Individual
JESSICA ALVILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 W SOUTHERN AVE, APACHE JUNCTION, AZ 85120-7305
(480) 983-0770
Mailing address
2313 E CAROL AVE, MESA, AZ 85204-2911
(480) 201-3914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5650
AZ
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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