Individual
MILDRED PANGILINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
3341 E QUEEN CREEK RD, SUITE 109, GILBERT, AZ 85297-8503
(480) 621-8361
(480) 621-8513
Mailing address
3341 E QUEEN CREEK RD, SUITE 109, GILBERT, AZ 85297-8503
(480) 621-8361
(480) 621-8513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3028
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
3028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806622
—
AZ
Enumeration date
12/09/2006
Last updated
10/26/2007
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