Individual
MRS. SUSANA MABEL BRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-4833
Mailing address
123 E VERA LN, TEMPE, AZ 85284-4053
(480) 940-0787
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0054
AZ
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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