Individual
JASON WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17505 N. 79TH AVE, GLEBDALE, AZ 85308
(623) 979-5266
Mailing address
17505 N. 79TH AVE, GLEBDALE, AZ 85308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3291
AZ
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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