Individual
MRS. LISA MARIE LAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
793 N ALMA SCHOOL RD STE D4, CHANDLER, AZ 85224-3611
(480) 626-4142
(480) 626-7370
Mailing address
801 E MCKELLIPS RD APT 5A, TEMPE, AZ 85281-1378
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3671
AZ
Other
Enumeration date
01/18/2007
Last updated
07/22/2009
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