Individual
MRS. VANDANA MANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 924-7777
Mailing address
2571 E AUGUSTA AVE, CHANDLER, AZ 85249-4874
(480) 209-1452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2564
AZ
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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