Individual
MRS. ANGELA HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 568-5100
Mailing address
22308 N VARGAS DR, MARICOPA, AZ 85238-8617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2517
AZ
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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