Individual
SHONTA M NESBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E SOUTHERN AVE, TEMPE, AZ 85282-5691
(602) 567-9881
Mailing address
5150 N 99TH AVE APT 3019, GLENDALE, AZ 85305-3028
(216) 338-8039
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046603
AZ
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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