Individual
MS. JACQUE CATALANO NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR.L
Contact information
Practice address
4602 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 896-6572
(602) 896-6520
Mailing address
23335 W DURANGO ST, BUCKEYE, AZ 85326-3848
(602) 896-6572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3052
AZ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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