Individual
PHYLLIS JANE CAPUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.R.-L.
Contact information
Practice address
6045 W CHANDLER BLVD, SUITE 13, PMB 101, CHANDLER, AZ 85226-3440
(480) 200-2937
(480) 773-7874
Mailing address
2937 N 22ND WAY, PHOENIX, AZ 85016-7801
(602) 954-4564
(480) 773-7874
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770512
ACCHS NUMBER
AZ
Enumeration date
04/23/2007
Last updated
07/08/2007
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