Individual
ROSE T MHANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45596 W WINDMILL DR, MARICOPA, AZ 85139-7091
(862) 220-0910
Mailing address
45596 W WINDMILL DR, MARICOPA, AZ 85139-7091
(862) 220-0910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000002
AZ
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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