Individual
ALYSSA HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 EAST SHEA BOULEVARD, SUITE 101, PHOENIX, AZ 85028
(602) 619-6061
Mailing address
2507 BAYOU LANE, LAKE HAVASU CITY, AZ 86403
(928) 208-7185
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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