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1699274407
ELIZABETH WILLIS
PHOENIX, AZ
NPI
1699274407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 7177)
Enumeration Date
2018-02-07
Last Update Date
2018-03-17
Business Address
ELIZABETH WILLIS COTA/L
1235 E HARMONT DR
PHOENIX, AZ 85020-3864
Phone number: 602-331-1470
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Mailing Address
ELIZABETH WILLIS COTA/L
8026 W CORRINE DR
PEORIA, AZ 85381-9034
Phone number: 509-995-5232
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