Individual
MRS. JANNA RENEE GESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12409 W INDIAN SCHOOL RD, AVONDALE, AZ 85392-9502
(623) 935-6040
Mailing address
4053 W VILLA RITA DR, GLENDALE, AZ 85308-2605
(602) 942-3399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2137
AZ
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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