GEORGE JAMES MATA

PHOENIX, AZ
NPI1023159779
Former NameGEORGE JAMES SALAMUNEC
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  1917)
Enumeration Date2007-02-08
Last Update Date2015-01-05
Business Address
Mr. GEORGE JAMES MATA COTA/L
10251 N 35TH AVE
PHOENIX, AZ 85051-1305
Phone number: 602-995-0867
Mailing Address
Mr. GEORGE JAMES MATA COTA/L
222 W CLARENDON AVE APT 207 APT #207
PHOENIX, AZ 85013-3487
Phone number: 602-516-0162