Individual
SOPHIA SWANGAROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5748 W ONYX AVE, GLENDALE, AZ 85302-1325
(480) 239-5265
Mailing address
5748 W ONYX AVE, GLENDALE, AZ 85302-1325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5301
AZ
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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