Individual
PHYLLIS ANN METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 N SAINT ELENA ST, GILBERT, AZ 85234-3594
(480) 926-0829
Mailing address
1018 N SAINT ELENA ST, GILBERT, AZ 85234-3594
(480) 926-0829
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0259
AZ
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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