Individual
ARIEL SID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
854 E WILLIAMS FIELD RD, GILBERT, AZ 85295-0703
(480) 398-4280
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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