Individual
CHARLENE DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13337 W VENTURA ST, SURPRISE, AZ 85379-6452
(956) 355-6798
Mailing address
13337 W VENTURA ST, SURPRISE, AZ 85379-6452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050246
AZ
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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