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Individual

CAROL ANN DORDEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
17374 N 89TH AVE, #1522, PEORIA, AZ 85382-8118
(260) 582-9173
Mailing address
10787 N D DR, KENDALLVILLE, IN 46755-9727
(260) 582-9173

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3839
AZ

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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