Individual
ROSETTE MAY CRUZ MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16471 N 175TH DR., SURPRISE, AZ 85388-8538
(623) 428-3510
Mailing address
16471 N 175TH DR, SURPRISE, AZ 85388-3119
(623) 428-3510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
D04516454
AZ
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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