Individual
SHANNA JANE BETZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
549 N STAPLEY DR, MESA, AZ 85203-7203
(480) 472-0246
Mailing address
1043 E MCKELLIPS RD, TEMPE, AZ 85281-1303
(623) 692-8349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046774
AZ
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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