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Individual

EMILY FASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4350 E RAY RD BLDG 1, SUITE 101A, PHOENIX, AZ 85044-4703
(480) 704-5954
(480) 704-5807
Mailing address
15333 N HAYDEN RD UNIT 3314, SCOTTSDALE, AZ 85260-3088
(920) 284-7446

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH008430
AZ
225XP0200X
Pediatric Occupational Therapist
OTH008430
AZ

Other

Enumeration date
05/08/2021
Last updated
05/08/2021
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