Individual
STEVEN QUAGLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 W CASA HERMOSA DR, PHOENIX, AZ 85021-5519
(480) 201-9112
Mailing address
23 W CASA HERMOSA DR, PHOENIX, AZ 85021-5519
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2503
AZ STATE OCCUPATIONAL THERAPY LICENSE
AZ
01
—
994395
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
09/08/2011
Last updated
09/08/2011
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