Individual
LISA MARLENE VALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
338 S. OCOTILLO DR., SACATON, AZ 85247
(520) 562-7400
Mailing address
20476 E APPALOOSA DR, QUEEN CREEK, AZ 85142-7137
(480) 208-4790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007512
AZ
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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