Individual
ANNA TISHA ABAD IRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6458 E BROADWAY RD, MESA, AZ 85206-1727
(480) 832-5160
Mailing address
6033 S SAN JACINTO ST, GILBERT, AZ 85298-4231
(480) 656-7295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4283
AZ
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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