Individual
MRS. ANN BOUVIER DISILVESTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R. L
Contact information
Practice address
12622 N 60TH ST, SCOTTSDALE, AZ 85254-4408
(480) 991-7334
Mailing address
12622 N 60TH ST, SCOTTSDALE, AZ 85254-4408
(480) 991-7334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0108
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108
OCCP. THERAPY LICENSE
AZ
Enumeration date
02/22/2007
Last updated
07/08/2007
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