Individual
JENNIFER NICOLE DACHTYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2524 S EL PARADISO, UNIT 118, MESA, AZ 85202-7459
(586) 945-1117
Mailing address
2524 S EL PARADISO, UNIT 118, MESA, AZ 85202-7459
(586) 945-1117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5159
AZ
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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