Individual
PAUL DARRELL CAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 E MARLETTE AVE, APT 28S, PHOENIX, AZ 85014-1512
(480) 430-9843
Mailing address
940 E MARLETTE AVE, APT 28S, PHOENIX, AZ 85014
(480) 430-9843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4970
AZ
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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