Individual
RICHARD SUEZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36397 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7336
(480) 567-2987
Mailing address
36397 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007743
AZ
Other
Enumeration date
03/18/2019
Last updated
11/16/2021
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