Individual
MS. VIRGINIA H SAN MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10450 W MCDOWELL RD STE 102, AVONDALE, AZ 85392-4901
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2882
NM
225X00000X
Occupational Therapist
AA495747
CO
225X00000X
Occupational Therapist
Primary
OTH-009607
AZ
225XP0200X
Pediatric Occupational Therapist
2287
CO
Other
Enumeration date
08/05/2007
Last updated
10/15/2025
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