Individual
JACOB LOT CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0000
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6560
AZ
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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