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1962636449
ANNA TISHA ABAD IRA
MESA, AZ
NPI
1962636449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 4283)
Enumeration Date
2009-05-12
Last Update Date
2009-05-12
Business Address
ANNA TISHA ABAD IRA OTR
6458 E BROADWAY RD
MESA, AZ 85206-1727
Phone number: 480-832-5160
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Mailing Address
ANNA TISHA ABAD IRA OTR
6033 S SAN JACINTO ST
GILBERT, AZ 85298-4231
Phone number: 480-656-7295
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