Individual
DALE HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
Mailing address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3488
AZ
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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