Individual
MS. MARIE FRANCES AGUAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4309 E FLORIAN AVE, MESA, AZ 85206-2798
(480) 757-2253
Mailing address
3125 W CORTEZ ST, PHOENIX, AZ 85029-3218
(623) 703-0553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6389
AZ
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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