Individual
JACOB CHANCE AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14239 W BELL RD STE 110, SURPRISE, AZ 85374-2470
(623) 544-1631
(623) 975-6144
Mailing address
14239 W BELL RD STE 110, SURPRISE, AZ 85374-2470
(623) 544-1631
(623) 975-6144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008907
AR
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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