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Individual

MS. LEAH FAZAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5281 N 99TH AVE STE 200, GLENDALE, AZ 85305-3199
(623) 889-0411
Mailing address
367 N OCEAN AVE, PATCHOGUE, NY 11772-2014
(718) 791-8950

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018689
NY

Other

Enumeration date
12/05/2014
Last updated
07/26/2024
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