Individual
MARIE POONAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1235 E HARMONT DR, PHOENIX, AZ 85020
(602) 595-1995
Mailing address
7039 N 14TH ST, PHOENIX, AZ 85020-5409
(602) 595-1995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3467
AZ
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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