Individual
MRS. JOANNE P WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
60 E VERNON AVE, PHOENIX, AZ 85004-1337
(602) 920-9625
Mailing address
PO BOX 14651, PHOENIX, AZ 85063-4651
(602) 920-9625
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5057
AZ
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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