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Individual

MELISSA TENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18555 N 79TH AVE, GLENDALE, AZ 85308-8370
(602) 648-5444
Mailing address
6736 W DISCOVERY DR, GLENDALE, AZ 85303-3932
(480) 375-5291

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008795
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
AZ
Enumeration date
05/11/2022
Last updated
07/26/2022
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