Individual
ARRA-MELA V WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA,
Contact information
Practice address
5402 E WASHINGTON ST APT 1044, PHOENIX, AZ 85034-2150
(951) 723-0183
Mailing address
5402 E WASHINGTON ST APT 1044, PHOENIX, AZ 85034-2150
(951) 723-0183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6184
AZ
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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