Individual
JANESSA PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 E. BASELINE ROAD APT 2022, GILBERT, AZ 85234-2682
(575) 749-0122
Mailing address
3225 E. BASELINE ROAD APT 2022, GILBERT, AZ 85234-2682
(575) 749-0122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5208
AZ
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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