JERRIE CHANDELL VALES AQUINO

FOUNTAIN HILLS, AZ
NPI1336599851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  6565)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: GU  22)
225X00000X Occupational Therapist
(Licence: IL  056010312)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
JERRIE CHANDELL VALES AQUINO OTR/L
16428 E KINGSTREE BLVD
FOUNTAIN HILLS, AZ 85268-5440
Phone number: 480-837-4565
Mailing Address
JERRIE CHANDELL VALES AQUINO OTR/L
PO BOX 5762
HAGATNA, GU 96932
Phone number: 671-971-0843