Individual
ALYSSA NOEL LEMERE KOWALCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34720 N ASHWOOD DR, SAN TAN VALLEY, AZ 85144-0111
(480) 309-0113
Mailing address
34720 N ASHWOOD DR, SAN TAN VALLEY, AZ 85144-0111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH009511
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTH-009511
ARIZONA BOARD OF OCCUPATIONAL THERAPY EXAMINERS
AZ
Enumeration date
01/08/2025
Last updated
01/08/2025
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