Individual
VALERIE PAMELA BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
44418 N 12TH ST, NEW RIVER, AZ 85087-7314
(602) 617-8504
Mailing address
44418 N 12TH ST, NEW RIVER, AZ 85087-7314
(602) 617-8504
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2575
AZ
Other
Enumeration date
05/05/2007
Last updated
02/18/2014
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