Individual
SASHA NOEL PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
14911 N 177TH AVE, SURPRISE, AZ 85388-8741
(701) 770-3798
Mailing address
14911 N 177TH AVE, SURPRISE, AZ 85388-8741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5753
AZ
225X00000X
Occupational Therapist
Primary
OTH-005753
AZ
Other
Enumeration date
04/17/2014
Last updated
09/09/2020
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