Individual
MR. ANGELO J MAISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4870 N LITCHFIELD ROAD SUITE #101, LITCHFIELD PARK, AZ 85340
(623) 935-6040
Mailing address
4870 N. LITCHFIELD ROAD SUITE #101, LITCHFIELD PARK, AZ 85340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7351
AZ
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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