Individual
SHAUNA LOUISE LACANLALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1025 N. COUNTRY CLUB DR., MPS SPEC. ED., MESA, AZ 85201
(480) 472-3996
(480) 472-3999
Mailing address
1400 E STIRRUP LN, QUEEN CREEK, AZ 85243-3236
(480) 472-3996
(480) 472-3999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3733
AZ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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