Individual
MR. JUAN MANUEL CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1980 W PECOS RD, CHANDLER, AZ 85224-5606
(480) 899-4280
Mailing address
3427 N SERICIN, MESA, AZ 85215-4319
(480) 703-6262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1210
AZ
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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