Individual
MISS CONNIE SUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E MONROE ST, GLOBE, AZ 85501-1363
(928) 425-5721
Mailing address
210 GILLETTE ST, APT B, GLOBE, AZ 85501-2489
(626) 922-2365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3909
AZ
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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