Individual
MARK VIGGIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
535 S ABBEY, MESA, AZ 85208-7466
(480) 612-7661
Mailing address
535 S ABBEY, MESA, AZ 85208-7466
(480) 612-7661
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5037
AZ
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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