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Individual

DEBRA BRINEGAR LISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
14418 W MEEKER BLVD STE 301, SUN CITY WEST, AZ 85375-5292
(623) 888-3450
(480) 795-6157
Mailing address
25063 N 67TH DR, PEORIA, AZ 85383-7103
(217) 369-7932

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7463
AZ
225X00000X
Occupational Therapist
OT-1156
ID

Other

Enumeration date
11/07/2012
Last updated
04/01/2020
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