Individual
VANNA JESSICA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
60 E VERNON AVE, PHOENIX, AZ 85004-1337
(480) 334-4344
Mailing address
5626 W THURMAN DR, LAVEEN, AZ 85339-3165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050064
AZ
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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