Individual
DUSTY RENAE MUSCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7540 N 19TH AVE, SUITE #200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
7540 NORTH 19TH AVENUE #200, SYNERTX REHABILITATION, PHOENIX, AZ 85021
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
269335
NM
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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