ANNA TISHA ABAD IRA

MESA, AZ
NPI1962636449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  4283)
Enumeration Date2009-05-12
Last Update Date2009-05-12
Business Address
ANNA TISHA ABAD IRA OTR
6458 E BROADWAY RD
MESA, AZ 85206-1727
Phone number: 480-832-5160
Mailing Address
ANNA TISHA ABAD IRA OTR
6033 S SAN JACINTO ST
GILBERT, AZ 85298-4231
Phone number: 480-656-7295