Individual
AURIVANE MARIA DE SALES AUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 W QUAIL TRACK DR, PHOENIX, AZ 85085-5439
(310) 847-0797
Mailing address
1555 W QUAIL TRACK DR, PHOENIX, AZ 85085-5439
(310) 847-0797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
358977
AZ
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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