Individual
ALICIA CHRISTINE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
505 JACKS CANYON RD, SEDONA, AZ 86351-7856
(928) 284-0935
Mailing address
505 JACKS CANYON RD, SEDONA, AZ 86351-7856
(928) 284-0935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362153
AHCCCS
AZ
Enumeration date
02/25/2009
Last updated
10/30/2012
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