Individual
REBECCA WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29697 N DESERT WILLOW BLVD, SAN TAN VALLEY, AZ 85143-3917
(480) 987-5360
Mailing address
3255 S DORSEY LN APT 2070, TEMPE, AZ 85282-3986
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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