Individual
GABRIELLE ANALIESE ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
Mailing address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 926-7200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047213
AZ
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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