Individual
MRS. ANGELINA ALTHEA CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6106 N 133RD AVE, LITCHFIELD PARK, AZ 85340-7310
(517) 294-7275
Mailing address
6106 N 133RD AVE, LITCHFIELD PARK, AZ 85340-7310
(517) 294-7275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5280
AZ
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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