Individual
GARRET CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9980 W GLENDALE AVE STE 110, GLENDALE, AZ 85307-3005
(623) 226-8804
Mailing address
901 E VAN BUREN ST APT 1116, PHOENIX, AZ 85006-4028
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OTH-007836
AZ
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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