Individual
PAULA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10632 S 51 ST, MESA, AZ 85044
(505) 661-7723
Mailing address
10632 S 51 ST, MESA, AZ 85044
(505) 661-7723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18556
FL
Other
Enumeration date
12/22/2021
Last updated
12/31/2024
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