Individual
MARY KAY EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20715 E OCOTILLO RD STE 103, QUEEN CREEK, AZ 85142-6118
(480) 888-1558
(480) 888-1533
Mailing address
20715 E OCOTILLO RD STE 103, QUEEN CREEK, AZ 85142-6118
(480) 888-1558
(480) 888-1533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3275
AZ
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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