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1225819881
TATE COLYAR
PHOENIX, AZ
NPI
1225819881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTA-006763)
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
TATE COLYAR OT/COTA
13811 N 35TH DR
PHOENIX, AZ 85053-5500
Phone number: 623-206-1826
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Mailing Address
TATE COLYAR OT/COTA
13565 W BRILES RD
PEORIA, AZ 85383-8296
Phone number: 623-385-6692
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