THADDEUS MICHAEL DODGE

PHOENIX, AZ
NPI1578169793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
THADDEUS MICHAEL DODGE
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Mailing Address
THADDEUS MICHAEL DODGE
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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