Individual
PHAEDRA ANTIOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1401 E. FOLLEY PLACE, CHANDLER, AZ 85225
(520) 401-1081
(480) 699-6115
Mailing address
1401 E. FOLLEY PLACE, CHANDLER, AZ 85225
(520) 401-1081
(480) 699-6115
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2668
AZ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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