Individual
JERZL ANNE A AWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44567 15TH ST W, LANCASTER, CA 93534-2803
(520) 282-3785
Mailing address
11793 N SILVERSCAPE DR, ORO VALLEY, AZ 85737-1411
(520) 833-8807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474947-32-101
AETNA
CA
Enumeration date
05/03/2022
Last updated
05/03/2022
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