Individual
SUZETTE KONAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
29017 N 64TH DR, PHOENIX, AZ 85083-7704
(623) 363-5573
Mailing address
29017 N 64TH DR, PHOENIX, AZ 85083-7704
(623) 363-5573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2500
AZ
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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