JONATHAN AMELUNG

PHOENIX, AZ
NPI1306218979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  5859)
Enumeration Date2015-10-22
Last Update Date2015-10-22
Business Address
-- JONATHAN AMELUNG COTA
14615 N 33RD AVE
PHOENIX, AZ 85053-4706
Phone number: 602-348-6953
Mailing Address
-- JONATHAN AMELUNG COTA
14615 N 33RD AVE
PHOENIX, AZ 85053-4706
Phone number: 602-348-6953