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1023685005
SERENA SPEARS
PHOENIX, AZ
NPI
1023685005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ OTA-046929)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
SERENA SPEARS COTA
4641 N 12TH ST STE 100
PHOENIX, AZ 85014-4085
Phone number: 602-281-2896
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Mailing Address
SERENA SPEARS COTA
12226 S PAIUTE ST
PHOENIX, AZ 85044-2122
Phone number: 480-586-6590
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