Individual
LESLIE STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14260 S DENNY BLVD, LITCHFIELD PARK, AZ 85340-9448
(623) 537-7400
Mailing address
14260 S DENNY BLVD, LITCHFIELD PARK, AZ 85340-9448
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3953
AZ
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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