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Individual

ELIZABETH DANIELLE WENGRAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
16822 S. 34TH ST., PHOENIX, AZ 85048
(602) 903-0217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007572
AZ
225X00000X
Occupational Therapist

Other

Enumeration date
08/09/2018
Last updated
08/21/2018
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