GINA DEL WILCKEN

GILBERT, AZ
NPI1265065452
Former NameGINA DEL LARSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  OTA-046756)
Enumeration Date2020-02-17
Last Update Date2020-02-17
Business Address
GINA DEL WILCKEN COTA/L
854 E WILLIAMS FIELD RD STE 105
GILBERT, AZ 85295-0703
Phone number: 480-398-4280
Mailing Address
GINA DEL WILCKEN COTA/L
PO BOX 50218
PHOENIX, AZ 85076-0218
Phone number: 480-398-4280