Individual
MEMORY ALANA DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3623 ZUNI, GLENDALE, AZ 85307-2237
(770) 597-5150
Mailing address
3623 ZUNI, GLENDALE, AZ 85307-2237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
120150
TX
225X00000X
Occupational Therapist
Primary
OTH-008607
AZ
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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