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Individual

MRS. MELADY DIANNE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
11934 W THOMAS ARRON DR, MARANA, AZ 85653-8032
(520) 241-2490
(520) 616-0020
Mailing address
11934 W THOMAS ARRON DR, MARANA, AZ 85653-8032
(520) 241-2490
(520) 616-0020

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4683
AZ

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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