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Individual

SANAM RAHBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
414 W LOUIS WAY, TEMPE, AZ 85284-1339
(480) 540-5075

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6866
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236888
AZ
Enumeration date
01/31/2017
Last updated
05/10/2018
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